Provider Demographics
NPI:1528187101
Name:VALUDES, GRETCHEN LUGER (LCSW)
Entity Type:Individual
Prefix:MS
First Name:GRETCHEN
Middle Name:LUGER
Last Name:VALUDES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 SHOE HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:HELLAM
Mailing Address - State:PA
Mailing Address - Zip Code:17406-8025
Mailing Address - Country:US
Mailing Address - Phone:717-755-1033
Mailing Address - Fax:717-840-3791
Practice Address - Street 1:77 SHOE HOUSE RD
Practice Address - Street 2:
Practice Address - City:HELLAM
Practice Address - State:PA
Practice Address - Zip Code:17406-8025
Practice Address - Country:US
Practice Address - Phone:717-755-1033
Practice Address - Fax:717-840-3791
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACWO12632101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor