Individual
MR. MARK W. LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
102 N ARIZONA BLVD, SUITE D, COOLIDGE, AZ 85128-5800
(480) 580-4036
Mailing address
102 N ARIZONA BLVD, SUITE D, COOLIDGE, AZ 85128-5800
(480) 580-4036
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1981
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
724014
—
AZ
Enumeration date
03/30/2007
Last updated
06/12/2020
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