Individual
LUKAS ROBERT LEE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP/T
Contact information
Practice address
21851 84TH AVE S # 101, KENT, WA 98032-1958
(425) 687-7082
(425) 687-7352
Mailing address
21851 84TH AVE S # 101, KENT, WA 98032-1958
(425) 687-7082
(425) 687-7352
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WA
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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