Individual
PATRICIA LUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 WESLEY RD, AUBURN, IN 46706-3653
(260) 925-2453
Mailing address
220 S MAIN ST, KENDALLVILLE, IN 46755-1718
(260) 242-5592
(260) 347-5649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002885A
IN
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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