Individual
JENNIFER NORWOOD LUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
1203 OLA AVE, TALLADEGA, AL 35160-1454
(256) 656-6915
Mailing address
1203 OLA AVE, TALLADEGA, AL 35160-1454
(256) 656-6915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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