LUCAS JOHN MOULDER

LAKEVILLE, MN
NPI1386150142
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MN  cc01674)
Enumeration Date2017-12-15
Last Update Date2017-12-15
Business Address
Mr. LUCAS JOHN MOULDER MA, LPCC
7580 160TH ST W
LAKEVILLE, MN 55044-8348
Phone number: 952-892-0897
Mailing Address
Mr. LUCAS JOHN MOULDER MA, LPCC
7580 160TH ST W
LAKEVILLE, MN 55044-8348
Phone number: 952-892-0897