person
Mr. Lucas John Moulder, MA,LPCC
Professional Counselor in Lakeville, Minnesota
NPI 1386150142

Lucas John Moulder is a Professional Counselor based in Lakeville, MN and is specialized in Professional. Lucas John Moulder practices in Lakeville, MN and has the professional credentials of MA,LPCC. The NPI Number for Lucas John Moulder is 1386150142 and holds a License No. CC01674 (Minnesota).

The current practice location address for Lucas John Moulder is 7580 160Th St W, Lakeville, MN and can be reached out via phone at 952-892-0897 and via fax at 952-435-6797. You can also correspond with Lucas John Moulder through the mailing address at 7580 160TH ST W, LAKEVILLE, MN - 55044-8348 (mailing address contact number: 952-892-0897).

Location: 7580 160Th St W, Lakeville, MN, 55044-8348
person
Provider Profile Details
NPI Number
1386150142
Provider Name
Lucas John Moulder
Credential
MA,LPCC
Provider Entity Type
Individual
Gender
Male
Address
7580 160Th St W, Lakeville, MN, 55044-8348
Phone Number
952-892-0897
Fax Number
952-435-6797
Provider Enumeration Date
12/15/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7580 160Th St W
City
State
Zip
55044-8348
Phone Number
952-892-0897
Fax Number
952-435-6797
person
Provider Business Mailing Address Details
Address
7580 160Th St W
City
State
Zip
55044-8348
Phone Number
952-892-0897
Fax Number
952-435-6797
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CC01674 (Minnesota)
Definition
Definition to come...
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