| Mr Mark W Lutz, LPC | |
|
102 N Arizona Blvd, Suite D, Coolidge, AZ 85128-5800 | |
| (480) 580-4036 | |
| Not Available |
| Full Name | Mr Mark W Lutz |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 102 N Arizona Blvd, Suite D, Coolidge, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508986852 | NPI | - | NPPES |
| 724014 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-1981 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark W Lutz, LPC 102 N Arizona Blvd, Suite D, Coolidge, AZ 85128-5800 Ph: (480) 580-4036 | Mr Mark W Lutz, LPC 102 N Arizona Blvd, Suite D, Coolidge, AZ 85128-5800 Ph: (480) 580-4036 |
Amanda Irwin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 229 W Central Ave Unit 2107, Coolidge, AZ 85128 Phone: 520-216-7259 | |
Lawrence E Wells, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 556 S Arizona Blvd, Coolidge, AZ 85128 Phone: 520-723-7405 Fax: 520-723-7410 |