Individual
LUDMILLA ZUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
605 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-3216
(503) 231-7480
Mailing address
605 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-3216
(503) 231-7480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C3980
OR
101YP2500X
Professional Counselor
Primary
C3980
OR
Other
Enumeration date
10/22/2012
Last updated
04/07/2021
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