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Brandon Michael Ludolph
Professional Counselor in Metamora, Illinois
NPI 1023681277

Brandon Michael Ludolph is a Professional Counselor based in Metamora, IL and is specialized in Professional. Brandon Michael Ludolph practices in Metamora, IL. The NPI Number for Brandon Michael Ludolph is 1023681277 and holds a License No. 180013763 (Illinois).

The current practice location address for Brandon Michael Ludolph is 1431 Lourdes Rd, Metamora, IL and can be reached out via phone at 309-383-4323.

Location: 1431 Lourdes Rd, Metamora, IL, 61548-7609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023681277
Provider Name
Brandon Michael Ludolph
Credential
Provider Entity Type
Individual
Gender
Male
Address
1431 Lourdes Rd, Metamora, IL, 61548-7609
Phone Number
309-383-4323
Fax Number
Provider Enumeration Date
07/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1431 Lourdes Rd
City
Metamora
State
Illinois
Zip
61548-7609
Phone Number
309-383-4323
Fax Number
person
Provider Business Mailing Address Details
Address
1431 Lourdes Rd
City
Metamora
State
Illinois
Zip
61548-7609
Phone Number
309-383-4323
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180013763 (Illinois)
Definition
Definition to come...
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