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MRS. MARTHA HARRIS-LUKEN MS LSW CCDC111
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1629052865
Individual Registrant:MRS. MARTHA HARRIS-LUKEN MS LSW CCDC111
Gender: F
Gender: F
Location and contact information for practice:
1320 WOODMAN DR. STE 100 DAYTEN, OH 45432 US
Tel: 937-424-8816 Fax: 937-424-8656
Tel: 937-424-8816 Fax: 937-424-8656
Contact information for business:
1320 WOODMAN DR. STE 100 DAYTEN, OH 45432 US
Tel: 937-424-8816 Fax: 937-424-8656
Tel: 937-424-8816 Fax: 937-424-8656
Registration Information:
NPI: 1629052865
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | OH | 976195 |
| X | 104100000X | Behavioral Health & Social Service Providers Social Worker | OH | S0015182 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
