Individual provider · Type 1 NPI

Lisa M. Luciano, PhD

Mental Health Counselor · Boulder, CO

NPI number 1073773479 Active

Practice location

1790 30th St, Suite 440
Boulder, CO 80301-1022

Fax (303) 440-6463

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X10350 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1073773479

Lisa M. Luciano, PhD's National Provider Identifier is 1073773479, issued on Jun 10, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Jun 10, 2008.