Provider Demographics
NPI:1922128412
Name:LUDWIG, JO-ANNE VICARIO (MA, LPC, NCC, LCAS)
Entity Type:Individual
Prefix:MRS
First Name:JO-ANNE
Middle Name:VICARIO
Last Name:LUDWIG
Suffix:
Gender:F
Credentials:MA, LPC, NCC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8305 CASTINE CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-4311
Mailing Address - Country:US
Mailing Address - Phone:919-847-0900
Mailing Address - Fax:919-847-7952
Practice Address - Street 1:8305 CASTINE CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-4311
Practice Address - Country:US
Practice Address - Phone:919-847-0900
Practice Address - Fax:919-847-7952
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC273101YA0400X
NC4774101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health