Individual
ANASTASIYA LUTSENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5805 OAKLAND DR, PORTAGE, MI 49024-1118
(269) 323-1954
(269) 323-4183
Mailing address
5805 OAKLAND DR, PORTAGE, MI 49024-1118
(269) 323-1954
(269) 323-4183
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301015189
MI
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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