Individual
PHILLIP LUKALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.E. LPC-1511
Contact information
Practice address
1419 MAIN ST, TORRINGTON, WY 82240-3340
(307) 532-4197
(307) 532-8405
Mailing address
1419 MAIN ST, TORRINGTON, WY 82240-3340
(307) 532-4197
(307) 532-8405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1511
WY
Other
Enumeration date
03/09/2014
Last updated
08/06/2015
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