Individual
REBECCA JEANNE LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2505 W BERYL AVE, PHOENIX, AZ 85021-1641
(602) 599-5465
(602) 262-2111
Mailing address
202 E EARLL DR, SUITE 200, PHOENIX, AZ 85012-2647
(602) 599-5404
(602) 599-5704
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC-13394
AZ
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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