Individual
TANYA MARIE LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
1301 E H ST, MC COOK, NE 69001-3482
(308) 344-2650
Mailing address
811 PENN ST, CAMBRIDGE, NE 69022-3500
(308) 350-0860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NE
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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