Individual provider · Type 1 NPI

Lutricia Levette Cisco, RN

Pastoral Counselor · Olympia, WA

NPI number 1245852524 Active

Practice location

400 Union Ave SE Ste 244
Olympia, WA 98501-2060

Fax (360) 459-3705

Mailing address

1617 Fones Rd SE Trlr 35
Olympia, WA 98501-7408

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808XRN60086332 (WA)
Pastoral Counselor Primary 101YP1600XNone listed

Pastoral Counselor: Definition to come...

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About NPI 1245852524

Lutricia Levette Cisco, RN's National Provider Identifier is 1245852524, issued on May 10, 2020. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Olympia, WA. The record was last updated on May 10, 2020.