Individual
DANIELLE LUTZOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
236 SW MEADE ST APT 2, PORTLAND, OR 97201-4772
(775) 772-7326
Mailing address
236 SW MEADE ST APT 2, PORTLAND, OR 97201-4772
(775) 772-7326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R8540
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/31/2023
Last updated
11/20/2023
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