Provider Demographics
NPI:1962065045
Name:WHITMORE, RUDI LAJEAN (LPCC)
Entity type:Individual
Prefix:MS
First Name:RUDI
Middle Name:LAJEAN
Last Name:WHITMORE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 E PALM AVE
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-6264
Mailing Address - Country:US
Mailing Address - Phone:909-255-1380
Mailing Address - Fax:
Practice Address - Street 1:101 E REDLANDS BLVD STE 245F
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4725
Practice Address - Country:US
Practice Address - Phone:909-255-1380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-15
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4431101YM0800X
CA10533101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health