Individual
ANGIE MARIE LUTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
2409 BEMISS RD STE B4, VALDOSTA, GA 31602-1936
(229) 251-5151
Mailing address
2409 BEMISS RD STE B4, VALDOSTA, GA 31602-1936
(229) 251-5151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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