Individual
ERIC LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
525 MAIN ST STE E, SOUTH PORTLAND, ME 04106-5457
(207) 767-0991
(207) 767-0995
Mailing address
525 MAIN ST STE E, SOUTH PORTLAND, ME 04106-5457
(207) 767-0991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC18921
ME
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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