Individual
LIISA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
608 HAPPY VALLEY RD, GLASGOW, KY 42141-1561
(270) 901-5000
Mailing address
608 HAPPY VALLEY RD, GLASGOW, KY 42141-1561
(270) 901-5000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
KY 1074
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
07/16/2010
Last updated
07/16/2010
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