Individual
STEPHANIE HANNAH LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT, CADC-I
Contact information
Practice address
244 NW KINGWOOD AVE, REDMOND, OR 97756-1688
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
T1188
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T1188
LMFT
OR
Enumeration date
09/17/2013
Last updated
07/21/2025
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