MICHEAL DEAN LUTTRULL

TEMPE, AZ
NPI1821552266
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ  LASAC-7186T)
Additional Taxonomies101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CP60969656)
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CO60703545)
Enumeration Date2019-01-30
Last Update Date2022-03-01
Business Address
MICHEAL DEAN LUTTRULL CDP
2123 E SOUTHERN AVE
TEMPE, AZ 85282-7531
Phone number: 804-897-7044
Mailing Address
MICHEAL DEAN LUTTRULL CDP
2817 WHEATON WAY STE 205
BREMERTON, WA 98310-3440
Phone number: 360-373-0155