LUKAS ROBERT LEE LARSON

KENT, WA
NPI1104680206
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-02-08
Last Update Date2024-02-08
Business Address
LUKAS ROBERT LEE LARSON SUDP/T
21851 84TH AVE S # 101
KENT, WA 98032-1958
Phone number: 425-687-7082
Mailing Address
LUKAS ROBERT LEE LARSON SUDP/T
21851 84TH AVE S # 101
KENT, WA 98032-1958
Phone number: 425-687-7082