Individual provider · Type 1 NPI
Shanay Lucious, MSW
Mental Health Counselor · Long Beach, CA
NPI number
1063719490
Active
Practice location
PO Box 4732
Long Beach, CA 90804-0732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 125844 (CA) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1063719490
Shanay Lucious, MSW's National Provider Identifier is 1063719490, issued on Feb 21, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Long Beach, CA. The record was last updated on Jan 5, 2025.