Individual
COURTNEY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC-I
Contact information
Practice address
212 N OAKDALE AVE, MEDFORD, OR 97501-2632
(541) 779-5242
Mailing address
212 NORTH OAKDALE AVENUE, MEDFORD, OR 97501
(541) 779-5242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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