Individual
REBECCA LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
18789 N REEMS RD STE 260, SURPRISE, AZ 85374-8648
(480) 447-1595
Mailing address
15472 W PORT ROYALE LN, SURPRISE, AZ 85379-6069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC21031
AZ
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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