Individual
BRYAN MATTHEW LUTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, LICDC
Contact information
Practice address
24100 CHAGRIN BLVD STE 3300, BEACHWOOD, OH 44122-5535
(800) 642-4560
(888) 391-5442
Mailing address
14020 PINE FOREST DR APT 208, NORTH ROYALTON, OH 44133-5012
(216) 387-9797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162721
OH
104100000X
Social Worker
S.2411110
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0413873
—
OH
Enumeration date
06/30/2018
Last updated
01/11/2025
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