Individual provider · Type 1 NPI

Tim Ludeman, LPC, MA

Professional Counselor · Happy Valley, OR

NPI number 1730485707 Active

Practice location

8305 SE Monterey Ave, Suite 220
Happy Valley, OR 97086-7725

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC2972 (OR)
Counselor 101Y00000XC2972 (OR)
Mental Health Counselor 101YM0800XC2972 (OR)

Professional Counselor: Definition to come...

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About NPI 1730485707

Tim Ludeman, LPC, MA's National Provider Identifier is 1730485707, issued on Feb 8, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Happy Valley, OR. The record was last updated on Sep 13, 2012.