Individual
EMILY LEANDRA ELAINE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4537 SW 96TH AVE, BEAVERTON, OR 97005-3329
(503) 376-9520
Mailing address
14300 SW GOLD COAST TER, TIGARD, OR 97224-5260
(503) 857-5764
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
04/26/2023
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