| Doctor Name: | MRS. LINDA J LUCAS |
| NPI Number: | 1508244880 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | LCPC-3324 |
| Business Practice Address: | 106 Michigan Avenue Orofino, ID - 835441611 |
| Business Phone Number: | 2084764440 |
| Business Fax Number: | |
| Mailing Address: | 106 Michigan Avenue, OROFINO |
| State: | ID |
| Postal Code: | 83544 |
| Phone Number: | 2084764440 |
| Fax Number: | |
| NPI Enumeration Date: | 05/07/2015 |
| NPI Last Update Date: | 05/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LCPC-3324 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |