| Brandon Michael Ludolph, | |
|
1431 Lourdes Rd, Metamora, IL 61548-7609 | |
| (309) 383-4323 | |
| Not Available |
| Full Name | Brandon Michael Ludolph |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1431 Lourdes Rd, Metamora, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023681277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180013763 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Michael Ludolph, 1431 Lourdes Rd, Metamora, IL 61548-7609 Ph: (309) 383-4323 | Brandon Michael Ludolph, 1431 Lourdes Rd, Metamora, IL 61548-7609 Ph: (309) 383-4323 |
Teresa Lynnette Peplow, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 586 Tazewood Rd, Metamora, IL 61548 Phone: 309-264-7627 | |
Ms. Megan Oetgen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1431 Lourdes Rd, Metamora, IL 61548 Phone: 309-383-4323 | |
Mrs. Julie E Sellner, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1431 Lourdes Rd, Metamora, IL 61548 Phone: 309-383-4323 Fax: 309-383-4323 |