Individual
SUMMER LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
240B COURTHOUSE RD, GULFPORT, MS 39507-1214
(228) 216-1061
Mailing address
240B COURTHOUSE RD, GULFPORT, MS 39507-1214
(228) 216-1061
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0457
MS
Other
Enumeration date
06/09/2016
Last updated
04/29/2017
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