Individual
LUCAS MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
2500 CENTRAL AVE SW STE B600, ALBUQUERQUE, NM 87104-1692
(505) 463-6653
Mailing address
1424 SILVER AVE SW, ALBUQUERQUE, NM 87104-1052
(505) 463-6653
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-0164331
NM
101YM0800X
Mental Health Counselor
CCMH0198861
NM
101YM0800X
Mental Health Counselor
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Other
Enumeration date
07/21/2014
Last updated
08/18/2022
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