Provider Demographics
NPI:1609007038
Name:LUDWIG, SARAH MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:LUDWIG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1974 STATE ROAD 259
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:WV
Mailing Address - Zip Code:26801-8745
Mailing Address - Country:US
Mailing Address - Phone:304-897-6069
Mailing Address - Fax:304-897-6069
Practice Address - Street 1:1974 STATE ROAD 259
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:WV
Practice Address - Zip Code:26801-8745
Practice Address - Country:US
Practice Address - Phone:304-897-6069
Practice Address - Fax:304-897-6069
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1943101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional