Doctor Name: | LUCAS ALLAN BROTEN |
NPI Number: | 1407101835 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D., LP |
License Number: | 9716 |
Business Practice Address: | 1055 S Wells Ave Reno, NV - 895022550 |
Business Phone Number: | 7753296300 |
Business Fax Number: | 7753483896 |
Mailing Address: | 680 S Rock Blvd, RENO |
State: | NV |
Postal Code: | 895024113 |
Phone Number: | 7753296300 |
Fax Number: | 7753483896 |
NPI Enumeration Date: | 07/23/2012 |
NPI Last Update Date: | 10/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 9716 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |