Provider Demographics
NPI:1821152240
Name:LUDWIG, KAREN LEE (LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LEE
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 1:6130 SW ZENITH AVE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-7878
Mailing Address - Country:US
Mailing Address - Phone:541-548-4709
Mailing Address - Fax:541-923-1177
Practice Address - Street 1:1655 SW HIGHLAND AVE
Practice Address - Street 2:#4
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2558
Practice Address - Country:US
Practice Address - Phone:541-548-4709
Practice Address - Fax:541-923-1177
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1002101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health