Individual
MS. AMANDA V LUKEHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
908 S GILLETTE AVE, GILLETTE, WY 82716-4807
(307) 660-5876
(307) 686-2587
Mailing address
908 S GILLETTE AVE, GILLETTE, WY 82716-4807
(307) 660-5876
(307) 686-2587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC 1466
WY
101YP2500X
Professional Counselor
LPC 1466
WY
101YP2500X
Professional Counselor
NCC202665
NC
101YP2500X
Professional Counselor
PPC 246
WY
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
01/24/2007
Last updated
01/19/2015
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