| Doctor Name: | LUCAS KOOLE |
| NPI Number: | 1023473121 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHCA |
| License Number: | MC60437882 |
| Business Practice Address: | 220 Unity St Bellingham, WA - 982254429 |
| Business Phone Number: | 3606766177 |
| Business Fax Number: | 3606713574 |
| Mailing Address: | 1616 Cornwall Ave, #205 BELLINGHAM |
| State: | WA |
| Postal Code: | 982254648 |
| Phone Number: | 3606766177 |
| Fax Number: | 3606713574 |
| NPI Enumeration Date: | 12/16/2015 |
| NPI Last Update Date: | 12/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MC60437882 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |