Individual
LARRY W LUTZ II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
210 N 3RD E, MOUNTAIN HOME, ID 83647-2733
(208) 284-0959
(208) 587-4269
Mailing address
210 N 3RD E, MOUNTAIN HOME, ID 83647-2733
(208) 284-0959
(208) 587-4269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-4128
ID
Other
Enumeration date
07/18/2006
Last updated
02/15/2024
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