| Doctor Name: | MS. MARY KATHRYN DUDLEY |
| NPI Number: | 1083764617 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L. C. A. S. |
| License Number: | 992 |
| Business Practice Address: | 320 E Graham St Ste 3 Shelby, NC - 281505569 |
| Business Phone Number: | 7044710110 |
| Business Fax Number: | 7044719696 |
| Mailing Address: | Po Box 2463, SHELBY |
| State: | NC |
| Postal Code: | 281512463 |
| Phone Number: | 7044710010 |
| Fax Number: | 7044719696 |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 992 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |