Doctor Name: | RANDALL LEE LUCAS |
NPI Number: | 1174996458 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | PPS-0603822 |
Business Practice Address: | 5335 Germain St Stephens City, VA - 226552835 |
Business Phone Number: | 5408689400 |
Business Fax Number: | |
Mailing Address: | 373 Hupp St, STRASBURG |
State: | VA |
Postal Code: | 226572114 |
Phone Number: | 5403356451 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2015 |
NPI Last Update Date: | 11/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | PPS-0603822 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |