GLENN ALFRED RUDE (NPI# 1558577528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558577528 |
| Entity Type | Individual |
| Full Name | GLENN ALFRED RUDE |
| Credential | MFC |
| Practice Address |
120 W Fir St Fort Bragg CA 95437-3204 |
| Practice Telephone | 7079612522 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| X | 106H00000X | Marriage & Family Therapist | MFC40139 | CA | Behavioral Health & Social Service Providers |
| Street Address |
120 W FIR ST |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134339120 | Marleen Laura Tempelaere | Counselor | 120 W Fir St, Fort Bragg, CA 95437-3204 | 2007-05-22 |
| 1861601221 | Lucila Martinez | Case Manager/Care Coordinator | 120 W Fir St, Fort Bragg, CA 95437-3204 | 2007-05-22 |
| 1962619387 | Mary Rosenthal | Clinical Nurse Specialist | 120 W Fir St, Fort Bragg, CA 95437-3204 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720319395 | Lisa A Nunnally | Counselor | 5373 Gruber Rd, Building C8837, Fort Bragg, NC 28310-0001 | 2010-01-21 |
| 1831340454 | Vivian Elaine Stewart | Counselor | 2817 Rielly Road, Robinson Health Clinic, Fort Bragg, NC 28310 | 2008-10-01 |
| 1730140997 | Cheryl Ann Thompson | Counselor | Womack Army Medical Hospital, Dept of Social Work, Fort Bragg, NC 28310-0001 | 2006-03-29 |
| 1518935576 | Ernest Lawson Jr. | Counselor | 5-4257 Bastogne & Reily Street, Fort Bragg, NC 28310-0001 | 2006-03-08 |
| 1154394195 | Michael Steven D'angelo | Counselor | Troop Medical Clinic G, 2817 Riley Road Mcxc-da, Fort Bragg, NC 28310-0001 | 2006-02-09 |
| 1194360818 | Christopher A. Legge | Counselor | 2817 Reilly Road, Fort Bragg, NC 28310 | 2019-11-18 |
| 1508214057 | Ilona Marcello | Counselor | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2016-05-25 |
| 1861737751 | Cathy Diane Garcia | Counselor | 137 E Oak Street, Fort Bragg, CA 95437 | 2012-12-03 |
| 1144582404 | Zebediah Amparan | Counselor | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2012-06-13 |
| 1083939490 | Alley Roberts | Counselor | 2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 48310 | 2010-03-30 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
Please comment or provide details below to improve the information on GLENN ALFRED RUDE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.