| Doctor Name: | AMANDA LUEDTKE |
| NPI Number: | 1023435690 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | CC00887 |
| Business Practice Address: | 5851 Duluth St Suite 306 Golden Valley, MN - 554223946 |
| Business Phone Number: | 7638437359 |
| Business Fax Number: | |
| Mailing Address: | 510 Ellis Ln, GOLDEN VALLEY |
| State: | MN |
| Postal Code: | 554274801 |
| Phone Number: | 7638437359 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2014 |
| NPI Last Update Date: | 12/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CC00887 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |