Individual
DR. ANTA LUTZ LING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, CADC, SAP
Contact information
Practice address
1128 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1350
(269) 552-9134
Mailing address
1128 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1350
(269) 552-9134
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12821
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-00443
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
SA0390142
MI
405300000X
Prevention Professional
SA0390142
MI
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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