Individual
MR. TRAVIS LUTTRULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 N 5TH ST APT 201, MILES CITY, MT 59301-3016
(406) 409-8441
Mailing address
15 N 5TH ST APT 201, MILES CITY, MT 59301-3016
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-60332
MT
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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