Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ellaina Renee Rudolph

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1730668906

Ellaina Renee Rudolph is an Addiction (Substance Use Disorder) Counselor in Highland Park, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
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Practice location Address checks out

12501 Hamilton Ave
Highland Park, MI 48203-3243
Phone: (313) 865-1580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (MI)

Record details

NPI number1730668906
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 9, 2018
Last updated in NPPESAugust 9, 2018

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