Individual
SOPHIA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7615 GOLDEN TRIANGLE DR STE A, EDEN PRAIRIE, MN 55344-3733
(612) 767-7222
Mailing address
7615 GOLDEN TRIANGLE DR STE A, EDEN PRAIRIE, MN 55344-3733
(612) 767-7222
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
01/14/2026
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