Jenna Lutz

Counselor · Centralia, IL

Individual Active NPI

NPI number 1700457629

Practice location

904 M L King Dr
Centralia, IL 62801-3058
Phone
(618) 533-1391
Fax
(618) 533-0012

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NPI record

NPI
1700457629
Entity type
Individual (Type 1)
Enumeration date
July 2, 2021
Last updated
July 2, 2021
Certified
July 2, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

About Jenna Lutz

Jenna Lutz is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 904 M L King Dr, Centralia, IL 62801-3058. The NPI number 1700457629 was assigned on July 2, 2021 and the record was last updated on July 2, 2021.

Frequently asked questions

What is the NPI number of Jenna Lutz?

The NPI number is 1700457629.

What is the phone number of Jenna Lutz?

The phone number listed for the practice location is (618) 533-1391.

Where is Jenna Lutz located?

904 M L King Dr, Centralia, IL 62801-3058.

What is the taxonomy code for Jenna Lutz?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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