Kenneth Bradley Luedke, PLADC
Counselor, Addiction (Substance Use Disorder) in Lincoln, NE. Individual provider (NPI-1).
NPI number1346777562
StatusActive
Last updated in NPPESMay 18, 2017
Details
- NPI
- 1346777562
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Bradley Luedke
- Credential
- PLADC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2017
- Last updated
- May 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | NE | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | P-1492 | NE |
Practice location
4706 South 48th StLincoln, NE 68516
Phone 402-489-9792 · Fax 402-489-9793
Mailing address
331 Indian RdLincoln, NE 68505
Phone 402-318-4693
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