Individual
SOPHIA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7389 AIRPORT VIEW DR SW, ROCHESTER, MN 55902-1890
(507) 292-1006
Mailing address
818 NORTH BLVD, OAK PARK, IL 60301-1302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4679
MN
101YP2500X
Professional Counselor
Primary
4679
MN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/10/2018
Last updated
06/05/2026
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