Individual
KIMBERLY LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 S 84TH ST STE E, LINCOLN, NE 68510-2641
(402) 440-4294
Mailing address
123 S 84TH ST STE E, LINCOLN, NE 68510-2641
(402) 440-4294
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10818
NE
Other
Enumeration date
04/13/2016
Last updated
10/06/2022
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