Kathryn Ludlow

Individual provider Active NPI Mental Health Counselor · Brimley, MI

NPI 1083264121 · NPPES record last updated Sep 19, 2019

Key facts

NPI
1083264121
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
6801062253 (MI)
Practice address
7134 S M 221
Brimley, MI 49715-9299
Phone
(906) 248-3219
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6801062253MIMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801062253 MI Yes

Addresses

Primary practice location

7134 S M 221
Brimley, MI 49715-9299

Mailing address

508 Ashmun St Ste 120
Sault Sainte Marie, MI 49783-1991
Phone (906) 253-3103

Other providers in Brimley, MI

All providers in Brimley, MI · Mental Health Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.