LUCAS A. MARISCAL

VANCOUVER, WA
NPI1245696889
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60592142)
Enumeration Date2016-01-12
Last Update Date2016-01-12
Business Address
Mr. LUCAS A. MARISCAL CDPT
1601 E 4TH PLAIN BLVD BLDG 17 STE B222
VANCOUVER, WA 98661-3713
Phone number: 360-397-8484
Mailing Address
Mr. LUCAS A. MARISCAL CDPT
PO BOX 1845
VANCOUVER, WA 98668-1845
Phone number: 360-397-8484