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Individual

KATHERINE LUTTRULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC, LADC

Contact information

Practice address
135 COLORADO ST E, SAINT PAUL, MN 55107-2244
(612) 454-2342
Mailing address
847 OAKDALE AVE, SAINT PAUL, MN 55107-3127
(612) 462-1918

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305417
MN
101YM0800X
Mental Health Counselor
2955
MN

Other

Enumeration date
03/08/2022
Last updated
03/08/2022
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