Individual
MS. ALYSE NICOLE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6022 VARIEL AVE, WOODLAND HILLS, CA 91367-3719
(818) 996-1051
Mailing address
1921 RANSOM PL, NASHVILLE, TN 37217-3841
(615) 279-6700
(615) 279-6702
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AMFT115799
CA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/13/2012
Last updated
08/03/2021
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