Doctor Name: | MS. JULIE MARIE LUDWICK |
NPI Number: | 1114218856 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.T.R., L.C.P.C. |
License Number: | 180.007792 |
Business Practice Address: | 872 S Milwaukee Ave #273 Libertyville, IL - 600483227 |
Business Phone Number: | 8476158696 |
Business Fax Number: | 8476158656 |
Mailing Address: | 1824 W Barry Ave, 1st Floor CHICAGO |
State: | IL |
Postal Code: | 606572041 |
Phone Number: | 3015203491 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2011 |
NPI Last Update Date: | 05/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 180.007792 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
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 |