Individual
KATHERINE LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
2075 NEW YORK AVE, HUNTINGTON STATION, NY 11746-3238
(631) 351-7112
(631) 351-0862
Mailing address
2075 NEW YORK AVE, HUNTINGTON STATION, NY 11746-3238
(631) 351-7112
(631) 351-0862
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
33261
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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