MICHELLE LUCAS

MODESTO, CA
NPI1184088668
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-04-11
Last Update Date2016-04-11
Business Address
-- MICHELLE LUCAS
1421 MOSSWOOD LN
MODESTO, CA 95355-1555
Phone number: 209-484-4291
Mailing Address
-- MICHELLE LUCAS
1421 MOSSWOOD LN
MODESTO, CA 95355-1555
Phone number: 209-484-4291
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