Individual
LUCILLE C CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1155 N STATE ST STE 608, BELLINGHAM, WA 98225-5024
(360) 224-2631
Mailing address
7762 CASCADES DR, MAPLE FALLS, WA 98266-7713
(360) 224-2631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60594466
WA
1041C0700X
Clinical Social Worker
Primary
LW 60706363
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038669
—
WA
Enumeration date
07/10/2014
Last updated
02/08/2019
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