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Lucas Lee Fuller
Mental Health Counselor in Placerville, California
NPI 1679255442

Lucas Lee Fuller is a Mental Health Counselor based in Placerville, CA and is specialized in Mental Health. Lucas Lee Fuller practices in Placerville, CA. The NPI Number for Lucas Lee Fuller is 1679255442 and holds a License No. (California).

The current practice location address for Lucas Lee Fuller is 4748 Studebaker Rd, Placerville, CA and can be reached out via phone at 530-906-3872.

Location: 4748 Studebaker Rd, Placerville, CA, 95667-8605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679255442
Provider Name
Lucas Lee Fuller
Credential
Provider Entity Type
Individual
Gender
Male
Address
4748 Studebaker Rd, Placerville, CA, 95667-8605
Phone Number
530-906-3872
Fax Number
Provider Enumeration Date
08/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4748 Studebaker Rd
City
Placerville
State
California
Zip
95667-8605
Phone Number
530-906-3872
Fax Number
person
Provider Business Mailing Address Details
Address
4748 Studebaker Rd
City
Placerville
State
California
Zip
95667-8605
Phone Number
530-906-3872
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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