Individual
MISHAEL C LUTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
201 E BIRCH AVE, FLAGSTAFF, AZ 86001-5215
(928) 607-0694
Mailing address
4083 S ALISA WAY, FLAGSTAFF, AZ 86005-8908
(928) 607-0694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-17717
AZ
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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