Individual
LUCAS RUSHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC-CC
Contact information
Practice address
86 TANDBERG TRL, WINDHAM, ME 04062-5841
(207) 893-0386
Mailing address
PO BOX 1360, WINDHAM, ME 04062-1360
(207) 893-0386
(207) 893-2086
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
XL6830
ME
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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