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Individual

KATIE MICHELLE LUTTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2084 MAIN ST, WILLISBURG, KY 40078-8199
(859) 375-9200
Mailing address
2084 MAIN ST, WILLISBURG, KY 40078-8199
(859) 375-9200

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
257281
KY
104100000X
Social Worker
Primary
257281
KY

Other

Enumeration date
12/28/2022
Last updated
04/17/2025
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