Individual
LEISHA NICOLE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
319 MAIN ST STE 510, LA CROSSE, WI 54601-0710
(608) 796-1114
Mailing address
417 WEST AVE S, LA CROSSE, WI 54601-4748
(940) 232-4573
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7338-125
WI
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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