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Individual

WILLIAM PETER LUCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
401 ORANGE ST, CHARLOTTESVILLE, VA 22902-4859
(434) 207-8429
Mailing address
401 ORANGE ST, CHARLOTTESVILLE, VA 22902-4859
(434) 207-8429

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008896
VA

Other

Enumeration date
10/25/2016
Last updated
06/07/2023
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