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Individual

ASHLEY LUCAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3285 CASEY DR, AP 102, LAS VEGAS, NV 89120-1367
(620) 481-6768
Mailing address
6688 NE BAYVIEW BLVD, BAINBRIDGE ISLAND, WA 98110-1283
(620) 481-6768

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LF61066413
WA
106H00000X
Marriage & Family Therapist
Primary
172V00000X
Community Health Worker
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LF61066413
MARRIAGE AND FAMILY THERAPIST LICENSE
WA
Enumeration date
07/07/2015
Last updated
03/19/2021
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