Doctor Name: | MS. JO ANN LUKER |
NPI Number: | 1801929328 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 12228 |
Business Practice Address: | 650 Scarbourough Canyon Lake, TX - 781334529 |
Business Phone Number: | 8309644390 |
Business Fax Number: | 8309644391 |
Mailing Address: | 14603 Ridge Glen Dr, SAN ANTONIO |
State: | TX |
Postal Code: | 782333923 |
Phone Number: | 8309644390 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 12228 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |