Individual
CHET RILEY LUDLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSWI
Contact information
Practice address
390 W 1ST N, EPHRAIM, UT 84627-2131
(435) 283-4065
(435) 283-5387
Mailing address
255 W MAIN ST, MOUNT PLEASANT, UT 84647-1331
(435) 462-2416
(435) 462-9350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7020488-3506
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7020488-3506
STATE OF UTAH
UT
Enumeration date
06/09/2008
Last updated
06/09/2008
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