Individual
DENISE ANN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 782-9950
(866) 553-5960
Mailing address
PO BOX 13761, PORTLAND, OR 97213-0761
(503) 782-9950
(866) 553-5960
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6772
OR
Other
Enumeration date
01/13/2019
Last updated
02/14/2023
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