Individual provider · NPI-1

Lucas Alberty

Counselor, Mental Health · Orange, CA

NPI number1942072483
StatusActive
Last updated in NPPESOct 27, 2023

Details

NPI
1942072483
Entity type
Individual (NPI-1)
Name
Lucas Alberty
Sex
Male
Sole proprietor
No
Enumeration date
Oct 27, 2023
Certification date
Oct 27, 2023
Last updated
Oct 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

401 S Tustin St Bldg D
Orange, CA 92866-2550

Phone 714-289-3936

Mailing address

401 S Tustin St Bldg D
Orange, CA 92866-2550

Phone 714-289-3936

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