LUCAS LEE FULLER

PLACERVILLE, CA
NPI1679255442
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2023-08-02
Last Update Date2025-01-22
Business Address
LUCAS LEE FULLER
4748 STUDEBAKER RD
PLACERVILLE, CA 95667-8605
Phone number: 530-906-3872
Mailing Address
LUCAS LEE FULLER
900 FULTON AVE
SACRAMENTO, CA 95825-8605
Phone number: 916-484-3570
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