Provider Demographics
NPI:1912654484
Name:LUDA COUNSELING
Entity type:Organization
Organization Name:LUDA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LUDMILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUCKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:541-301-2562
Mailing Address - Street 1:18909 NE 25TH DR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-6445
Mailing Address - Country:US
Mailing Address - Phone:541-301-2562
Mailing Address - Fax:
Practice Address - Street 1:18909 NE 25TH DR
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-6445
Practice Address - Country:US
Practice Address - Phone:541-301-2562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty