| Doctor Name: | ANNA LEAH RUDASILL |
| NPI Number: | 1073852166 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 66108 |
| Business Practice Address: | 1805 Florence Rd Suite 10 Killeen, TX - 765418523 |
| Business Phone Number: | 2545264673 |
| Business Fax Number: | 2545264853 |
| Mailing Address: | Po Box 416, TEMPLE |
| State: | TX |
| Postal Code: | 765030416 |
| Phone Number: | 2547784673 |
| Fax Number: | 2545264853 |
| NPI Enumeration Date: | 02/08/2013 |
| NPI Last Update Date: | 02/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 66108 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |