person
Mr. Lucas A. Mariscal, CDPT
Addiction (Substance Use Disorder) Counselor in Vancouver, Washington
NPI 1245696889

Lucas A. Mariscal is an Addiction (Substance Use Disorder) Counselor based in Vancouver, WA and is specialized in Addiction (Substance Use Disorder). Lucas A. Mariscal practices in Vancouver, WA and has the professional credentials of CDPT. The NPI Number for Lucas A. Mariscal is 1245696889 and holds a License No. CO60592142 (Washington).

The current practice location address for Lucas A. Mariscal is 1601 E 4Th Plain Blvd, Vancouver, WA and can be reached out via phone at 360-397-8484 and via fax at 360-397-8494.

Location: 1601 E 4Th Plain Blvd, Vancouver, WA, 98668-1845
person
Provider Profile Details
NPI Number
1245696889
Provider Name
Lucas A. Mariscal
Credential
CDPT
Provider Entity Type
Individual
Gender
Male
Address
1601 E 4Th Plain Blvd, Vancouver, WA, 98668-1845
Phone Number
360-397-8484
Fax Number
360-397-8494
Provider Enumeration Date
01/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1601 E 4Th Plain Blvd
City
State
Zip
98661-3713
Phone Number
360-397-8484
Fax Number
360-397-8494
person
Provider Business Mailing Address Details
Address
1601 E 4Th Plain Blvd
City
State
Zip
98661-3713
Phone Number
360-397-8484
Fax Number
360-397-8494
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO60592142 (Washington)
Definition
Definition to come...
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