Individual
LISA COOPER-LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 W CHESAPEAKE AVE STE 507, TOWSON, MD 21204-4892
(410) 847-7171
Mailing address
5525 TWIN KNOLLS RD STE 327, COLUMBIA, MD 21045-3207
(410) 992-9149
(410) 992-9921
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC9241
MD
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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