MICHEAL DEAN LUTTRULL CDP NPI 1821552266

NPI Information

NPI: 1821552266
Provider Name: MICHEAL DEAN LUTTRULL, CDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2123 E SOUTHERN AVE
TEMPE, AZ
ZIP 85282
Phone: (804) 897-7044
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Micheal Dean Luttrull, CDP is an addiction (substance use disorder) counselor in Tempe, AZ. Micheal Dean Luttrull, CDP NPI is 1821552266. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2123 E SOUTHERN AVE
TEMPE, AZ
ZIP 85282-531
Phone: (804) 897-7044

The enumeration date for this NPI number is 1/30/2019 and was last updated on 3/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP60969656	WASHINGTON	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CO60703545	WASHINGTON	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LASAC-7186T	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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