Individual
HENRY AUGUSTUS LUTTERODT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 SESSIONS LN, KENNER, LA 70065-2962
(336) 457-4153
Mailing address
912 SESSIONS LN, KENNER, LA 70065-2962
(336) 457-4153
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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