LUCAS LEE FULLER

PLACERVILLE, CA
NPI1679255442
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-08-02
Last Update Date2023-08-02
Business Address
LUCAS LEE FULLER
4748 STUDEBAKER RD
PLACERVILLE, CA 95667-8605
Phone number: 530-906-3872
Mailing Address
LUCAS LEE FULLER
4748 STUDEBAKER RD
PLACERVILLE, CA 95667-8605
Phone number: 153-090-6387