Individual
CHARLES JOSEPH LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
5455 ALMIRA DR SE, BREMERTON, WA 98311-8330
(360) 373-5031
Mailing address
5455 ALMIRA DR SE, BREMERTON, WA 98311-8330
(360) 373-5031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00005380
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91102010665
KITSAP PHYSICIANS SERVICE
WA
01
—
A069
TRICARE
WA
Enumeration date
01/23/2007
Last updated
07/08/2007
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