Individual
LAUREN LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 BYRD AVE, RICHMOND, VA 23230-3033
(804) 592-6311
Mailing address
15706 DRAYCOT DR, MIDLOTHIAN, VA 23112-5515
(804) 317-5576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008282
VA
Other
Enumeration date
07/05/2018
Last updated
04/18/2019
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