Individual
DR. BRENDA GALE LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 SYCAMORE ST, SUITE 134, ELIZABETHTOWN, KY 42701-2469
(270) 763-6644
(270) 765-2452
Mailing address
200 SYCAMORE ST, SUITE 134, ELIZABETHTOWN, KY 42701-2469
(270) 763-6644
(270) 765-2452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
KY0301
KY
101YM0800X
Mental Health Counselor
Primary
KY0057
KY
101YP2500X
Professional Counselor
MI6401004980
MI
Other
Enumeration date
12/28/2006
Last updated
09/16/2014
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