Individual
KELSEY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
645 INTERSTATE DR, GRAYSON, KY 41143-1704
(606) 474-0669
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
285225
KY
Other
Enumeration date
06/22/2023
Last updated
10/01/2025
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