Healthcare Provider Details

I. General information

NPI: 1720904618
Provider Name (Legal Business Name): EVA LUKAS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7115 GREENBACK LN
CITRUS HEIGHTS CA
95621-5637
US

IV. Provider business mailing address

7115 GREENBACK LN
CITRUS HEIGHTS CA
95621-5637
US

V. Phone/Fax

Practice location:
  • Phone: 916-536-3500
  • Fax: 916-536-3541
Mailing address:
  • Phone: 916-536-3500
  • Fax: 916-536-3541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number97290
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: