Individual
MS. ANNIE LUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
11 S MAIN ST, RANDOLPH, VT 05060-1330
(802) 728-4466
(802) 728-4197
Mailing address
11 S MAIN ST, RANDOLPH, VT 05060-1330
(802) 728-4466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000338
VT
Other
Enumeration date
05/08/2007
Last updated
02/19/2013
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