Rudd, Jeremy Daniel

Rudd, Jeremy Daniel is an sole proprietor health care provider with primary practice located at 7460 Warren Pkwy Ste 100 , Frisco TX 75034-4170. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Rudd, Jeremy Daniel can be contacted via phone (214) 484-7748.

Contact Information

Primary practice address
7460 Warren Pkwy Ste 100 Frisco TX 75034-4170
Phone: (214) 484-7748
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 64960 Texas

Profile Details

NPI number 1427576693
LBN Legal business name Rudd, Jeremy Daniel
Credentials MA, LPC, CCM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2017
Last updated Sep 7th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427576693 NPPES
Other NONE N/A

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