Individual
DANEIN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 NW 29TH ST, OKLAHOMA CITY, OK 73107-1309
(405) 517-0633
Mailing address
3925 NW 29TH ST, OKLAHOMA CITY, OK 73107-1309
(405) 517-0633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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