Individual
LINDSEY KUCICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
32582 WILDFLOWER DR, LAKE ELSINORE, CA 92532-2552
(702) 234-0708
Mailing address
32582 WILDFLOWER DR, LAKE ELSINORE, CA 92532-2552
(702) 234-0708
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
LEP3826
CA
103TS0200X
School Psychologist
220040341
CA
Other
Enumeration date
01/11/2008
Last updated
01/10/2023
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