person
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. You can also correspond with Brandon Michael Ludolph through the mailing address at 1431 LOURDES RD, METAMORA, IL - 61548-7609 (mailing address contact number: 309-383-4323).

Location: 1431 Lourdes Rd, Metamora, IL, 61548-7609
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
State
Zip
61548-7609
Phone Number
309-383-4323
Fax Number
person
Provider Business Mailing Address Details
Address
1431 Lourdes Rd
City
State
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
License No.
180013763 (Illinois)
Definition
Definition to come...
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