Individual
LESLEY LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 NATOMA ST, FOLSOM, CA 95630-3074
(916) 622-3485
Mailing address
5609 BOLTON WAY, ROCKLIN, CA 95677-2565
(916) 622-3485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
00000000000000000
—
Enumeration date
04/30/2021
Last updated
11/17/2023
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