Samantha Jo Luedtke, LPCC
Counselor, Professional in Richfield, MN. Individual provider (NPI-1).
NPI number1831845346
StatusActive
Last updated in NPPESMar 31, 2023
Details
- NPI
- 1831845346
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Samantha Jo Luedtke
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2022
- Certification date
- Mar 31, 2023
- Last updated
- Mar 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | cc3202 | MN | Yes |
Other names
- Samantha Jo Bahr (Former Name)
Practice location
2400 W 64th StRichfield, MN 55423-1001
Phone 612-767-7222
Mailing address
2400 W 64th StRichfield, MN 55423-1001
Phone 612-767-7222
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