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Lisa D Lucas, MS,MA,NCC,LMHC
Mental Health Counselor in Fayetteville, New York
NPI 1043327208

Lisa D Lucas is a Mental Health Counselor based in Fayetteville, NY and is specialized in Mental Health. Lisa D Lucas practices in Fayetteville, NY and has the professional credentials of MS,MA,NCC,LMHC. The NPI Number for Lisa D Lucas is 1043327208 and holds a License No. 001497 (New York).

The current practice location address for Lisa D Lucas is 7000 E Genesee St, Fayetteville, NY and can be reached out via phone at 315-751-1083.

Location: 7000 E Genesee St, Fayetteville, NY, 13066-1131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043327208
Provider Name
Lisa D Lucas
Credential
MS,MA,NCC,LMHC
Provider Entity Type
Individual
Gender
Female
Address
7000 E Genesee St, Fayetteville, NY, 13066-1131
Phone Number
315-751-1083
Fax Number
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001497 05 NY
institution
Provider Business Practice Location Address Details
Address
7000 E Genesee St
City
Fayetteville
State
New York
Zip
13066-1131
Phone Number
315-751-1083
Fax Number
person
Provider Business Mailing Address Details
Address
7000 E Genesee St
City
Fayetteville
State
New York
Zip
13066-1131
Phone Number
315-751-1083
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
001497 (New York)
Definition
Definition to come...
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