Doctor Name: | LUCAS CARSTO |
NPI Number: | 1063886802 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 11 Robinson St Pottstown, PA - 194646421 |
Business Phone Number: | 6103269250 |
Business Fax Number: | |
Mailing Address: | 501 N Charlotte St, 2nd Floor POTTSTOWN |
State: | PA |
Postal Code: | 194644602 |
Phone Number: | 4846864991 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2015 |
NPI Last Update Date: | 11/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |