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Individual

AUTUM M LUSTFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMAC

Contact information

Practice address
1600 N LORRAINE ST STE 202, HUTCHINSON, KS 67501-5600
(620) 663-7595
(620) 513-5098
Mailing address
1600 N LORRAINE ST STE 202, HUTCHINSON, KS 67501-5600
(620) 663-7595
(620) 513-5098

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01229-T
KS
101YP2500X
Professional Counselor
04483
KS

Other

Enumeration date
09/08/2023
Last updated
10/17/2024
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