Individual
MS. CONRAE JAN LUCAS-ADKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA ED.S
Contact information
Practice address
2001 MCCOY RD, HUNTINGTON, WV 25701-4937
(304) 824-3033
(304) 824-7947
Mailing address
2001 MCCOY RD, HUNTINGTON, WV 25701-4937
(304) 824-3033
(304) 824-7947
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9204078000
—
WV
Enumeration date
01/30/2008
Last updated
01/30/2008
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