Provider Demographics
NPI:1952758641
Name:LUDINGTON-DASANA, JENNIFER (MS, MA, LAMFT)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:
Last Name:LUDINGTON-DASANA
Suffix:
Gender:
Credentials:MS, MA, LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 W CHEROKEE DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-3900
Mailing Address - Country:US
Mailing Address - Phone:267-230-6808
Mailing Address - Fax:
Practice Address - Street 1:1159 BUNKER HILL RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-9798
Practice Address - Country:US
Practice Address - Phone:320-279-6491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-23
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEFA-0010025106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist