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CRAIG MATTHEW LADWIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
135 E MAXWELL ST STE 200, LEXINGTON, KY 40508-2622
(859) 323-6211
(859) 257-9821
Mailing address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(859) 253-1686

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
288482
KY
172V00000X
Community Health Worker
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790731081
KY
Enumeration date
04/07/2020
Last updated
10/28/2024
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