Individual
NICKI LYNN LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4131 N 24TH ST STE B102, PHOENIX, AZ 85016-6231
(480) 882-4545
(602) 903-7091
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-19255
AZ
101YM0800X
Mental Health Counselor
Primary
LPC23434
AZ
101YP2500X
Professional Counselor
CI3342
NV
Other
Enumeration date
04/16/2021
Last updated
01/14/2025
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