Individual
MR. CLINTON BRENT LUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHRS
Contact information
Practice address
1520 EUREKA RD STE 102, ROSEVILLE, CA 95661-2849
(916) 759-1168
Mailing address
1520 EUREKA RD STE 102, ROSEVILLE, CA 95661-2849
(916) 759-1168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
04/24/2025
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