Individual
ISHA LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 38TH ST STE 100E, BOULDER, CO 80301-2624
(303) 335-0927
Mailing address
2305 13TH ST APT 4, BOULDER, CO 80304-4125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0020579
CO
Other
Enumeration date
10/16/2009
Last updated
04/17/2024
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