Individual
MRS. LINDA J LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
106 MICHIGAN AVENUE, OROFINO, ID 83544-1611
(208) 476-4440
Mailing address
106 MICHIGAN AVENUE, OROFINO, ID 83544
(208) 476-4440
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-3324
ID
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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