Provider Demographics
NPI:1417839481
Name:RUD, RACHEL ANNE ELIZABETH (LMFT, MS)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANNE ELIZABETH
Last Name:RUD
Suffix:
Gender:F
Credentials:LMFT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 N KENMORE AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-2988
Mailing Address - Country:US
Mailing Address - Phone:310-948-8053
Mailing Address - Fax:
Practice Address - Street 1:508 N KENMORE AVE APT 9
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-2988
Practice Address - Country:US
Practice Address - Phone:310-948-8053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA156527106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist