Individual
MR. LUKAS L FICKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1200 N THORNTON ST STE J, CLOVIS, NM 88101
(575) 935-8522
(575) 935-8524
Mailing address
1200 N THORNTON ST, STE J, CLOVIS, NM 88101-5508
(575) 935-8522
(575) 935-8524
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0144951
NM
101YM0800X
Mental Health Counselor
Primary
0144951
NM
101YP2500X
Professional Counselor
0144951
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357783771
—
NM
Enumeration date
09/09/2009
Last updated
02/14/2017
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