Individual
MRS. LEANNA LUDLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LIMFT LIMHP
Contact information
Practice address
3401 N 191ST AVE, ELKHORN, NE 68022-3350
(402) 915-8900
(402) 915-8946
Mailing address
3401 N 191ST AVE, ELKHORN, NE 68022-3350
(402) 915-8900
(402) 915-8946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHP2796
NE
106H00000X
Marriage & Family Therapist
LMFT111
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47083207826
—
NE
01
—
85447
BCBS
NE
Enumeration date
03/03/2006
Last updated
04/16/2021
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