Individual
RAVEN DENISE LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3029 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2506
(202) 232-6100
Mailing address
3029 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2506
(202) 232-6100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CACII1082
DC
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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