| Denise A Lucas Lpc | |
|
2355 State St Ste 101 Salem OR 97301-4541 | |
| (503) 782-9950 | |
| Not Available |
| Full Name | Denise A Lucas Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2355 State St Ste 101, Salem, Oregon |
| Authorized Official Name and Position | Denise Lucas (OWNER) |
| Authorized Official Contact | 5037829950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denise A Lucas Lpc Po Box 13761 Portland OR 97213-0761 Ph: () - | Denise A Lucas Lpc 2355 State St Ste 101 Salem OR 97301-4541 Ph: (503) 782-9950 |
| NPI Number | 1114644812 |
|---|---|
| Provider Enumeration Date | 10/24/2022 |
| Last Update Date | 10/24/2022 |
| Certification Date | 10/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114644812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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