Individual
TIMOTHY LUEDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
729 1/2 MASSACHUSETTS ST STE 213, LAWRENCE, KS 66044-2257
(785) 760-4810
Mailing address
729 1/2 MASSACHUSETTS ST STE 213, LAWRENCE, KS 66044-2257
(785) 760-4810
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAT-379
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1131
NE
101YM0800X
Mental Health Counselor
10196
NE
101YM0800X
Mental Health Counselor
3388
NE
101YM0800X
Mental Health Counselor
5212
NE
101YM0800X
Mental Health Counselor
Primary
LCPC03725
KS
101YP2500X
Professional Counselor
03725
KS
101YP2500X
Professional Counselor
LPC-1748
WY
Other
Enumeration date
12/11/2014
Last updated
12/12/2024
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