Individual
MS. GAYLE ELLYN LUKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPCC
Contact information
Practice address
1763 OAK DR, CHINO VALLEY, AZ 86323-3402
(530) 632-3343
Mailing address
1763 OAK DR, CHINO VALLEY, AZ 86323-3402
(530) 632-3343
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
17877
AZ
101YM0800X
Mental Health Counselor
LPCC16
CA
106H00000X
Marriage & Family Therapist
Primary
15309
AZ
106H00000X
Marriage & Family Therapist
MFC 43536
CA
Other
Enumeration date
02/14/2007
Last updated
02/12/2024
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