Individual
MR. ANDY LUTHER GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S; LMFT; LCDC
Contact information
Practice address
6012 REEF POINT LN STE C, FORT WORTH, TX 76135-2056
(682) 312-8184
Mailing address
6012 REEF POINT LN STE C, FORT WORTH, TX 76135-2056
(682) 312-8184
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1882
TX
101YM0800X
Mental Health Counselor
Primary
9272
TX
101YP1600X
Pastoral Counselor
3472
TX
101YS0200X
School Counselor
3472
TX
106H00000X
Marriage & Family Therapist
1367
TX
Other
Enumeration date
05/31/2019
Last updated
06/11/2019
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