Individual
KYLE MATTHEW LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8745 W 14TH AVE, #120, LAKEWOOD, CO 80215-4889
(720) 237-7155
Mailing address
8745 W 14TH AVE, #120, LAKEWOOD, CO 80215-4889
(720) 237-7155
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5903
CO
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
01/07/2008
Last updated
08/15/2012
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