Ludahl, Cathy
Ludahl, Cathy is an individual health care provider with primary practice located at 305 Pacific Ave S Ste 102 , Kelso WA 98626-1638. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ludahl, Cathy can be contacted via phone (360) 577-7442.Contact Information
Primary practice address
305 Pacific Ave S Ste 102
Kelso WA 98626-1638
Phone: (360) 577-7442
Fax: (360) 577-7904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 00002637 | Washington |
Profile Details
| NPI number | 1073982880 |
|---|---|
| LBN Legal business name | Ludahl, Cathy |
| Credentials | CDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2015 |
| Last updated | Nov 21st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073982880 | NPPES |
| Washington | MEDICAID | 2101127 |
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