Individual
KATHERINE DA LUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, LCMHC
Contact information
Practice address
1011 DRESSER CT, RALEIGH, NC 27609-7323
(919) 624-0982
(919) 516-0057
Mailing address
4709 EDWARDS MILL RD APT G, RALEIGH, NC 27612-4443
(919) 624-0982
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
3401-A
NC
Other
Enumeration date
10/02/2013
Last updated
09/25/2020
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