| Doctor Name: | MS. ELLEN LEE DUDLEY |
| NPI Number: | 1346325586 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA LPC CRC |
| License Number: | 3295 |
| Business Practice Address: | 2018 Eastwood Rd Suite 316 Wilmington, NC - 284037228 |
| Business Phone Number: | 9103440480 |
| Business Fax Number: | 9103441206 |
| Mailing Address: | 615 Spencer Ct, WILMINGTON |
| State: | NC |
| Postal Code: | 284123463 |
| Phone Number: | 9102746757 |
| Fax Number: | 9103441206 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 07/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 3295 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |