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NPI Code Detail

MEDICARE: MS. KATRINA LUCAS LMFT

MEDICARE: MS. KATRINA LUCAS LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist0155181NM

General Provider Information

NPI Number : 1164757696
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATRINA LUCAS LMFT
Provider Business Mailing Address
First Line : 1616 S GOLD ST STE 4
Second Line :
City : CENTRALIA
State : WA
Zip : 98531-8930
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1616 S GOLD ST STE 4
Second Line :
City : CENTRALIA
State : WA
Zip : 98531-8930
Country : US
Telephone Number : 505-994-9178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2009
Last Update Date : 08/22/2023

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Directions to “ MS. KATRINA LUCAS LMFT” Practice Location

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