Individual
LUCAS FRANK BRUNO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1995 MAIN ST STE 2J, WAILUKU, HI 96793-1706
(808) 298-3948
Mailing address
PO BOX 40461, RENO, NV 89504-4461
(808) 298-3948
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MFT-300
HI
101YA0400X
Addiction (Substance Use Disorder) Counselor
00500-LC
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSAC
HI
106H00000X
Marriage & Family Therapist
Primary
01531
NV
171100000X
Acupuncturist
ACU-372
HI
Other
Enumeration date
12/17/2008
Last updated
10/29/2018
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