Individual
ELIZABETH LUSTGARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
402 GREENBELT DR, MARYVILLE, TN 37804-5702
(865) 333-4931
Mailing address
9041 EXECUTIVE PARK DR STE 275-B, KNOXVILLE, TN 37923-4621
(865) 333-4931
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6187
TN
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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