Individual
KANDY ANN LUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
22713 S ELLSWORTH RD STE A101, QUEEN CREEK, AZ 85142-7886
(480) 445-0938
Mailing address
22713 S ELLSWORTH RD STE A101, QUEEN CREEK, AZ 85142-7886
(480) 445-0938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LAC-20016
AZ
Other
Enumeration date
06/08/2022
Last updated
08/08/2023
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