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

Jordan Elizabeth Rudolph

Individual provider Counselor · NPI 1932550662

Jordan Elizabeth Rudolph is a Counselor in Charlotte, North Carolina. Practices as a sole proprietor and works from 4 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
4
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Practice location Address checks out

5700 Executive Center Dr
Charlotte, NC 28212-8858
Phone: (704) 525-3255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3455 Percy St, Los Angeles, CA 90023 — (323) 268-2100
  • 3455 Percy St, Los Angeles, CA 90023 — (323) 268-2100
  • 902 S Myrtle Ave, Monrovia, CA 91016 — (626) 463-1021

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Counselor Taxonomy 101Y00000X (CA)
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X (CA)

Record details

NPI number1932550662
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 23, 2016
Last updated in NPPESFebruary 15, 2020
Certification dateFebruary 15, 2020

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