Individual
MR. LUTHER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
4215 SPRING ST, 215, LA MESA, CA 91941-7965
(619) 462-2277
Mailing address
4215 SPRING ST, #215, LA MESA, CA 91941-7965
(619) 462-2277
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
IMF71042
CA
106H00000X
Marriage & Family Therapist
IMF71042
CA
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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