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Individual

BRIAN LUDDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10242 BEAR VALLEY RD, JACKSONVILLE, FL 32257-5934
(904) 251-4564
Mailing address
9958 TIMBER FALLS LN, JACKSONVILLE, FL 32219-4357

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13947
FL
101YP2500X
Professional Counselor
MH13947
FL

Other

Enumeration date
02/06/2016
Last updated
05/06/2021
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