Individual
AMANDA LUTERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
3282 ALBERT AVE APT 813, ROYAL OAK, MI 48073-6841
(810) 429-9161
Mailing address
3282 ALBERT AVE APT 813, ROYAL OAK, MI 48073-6841
(810) 429-9161
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013080
MI
Other
Enumeration date
01/22/2014
Last updated
09/08/2022
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