Individual provider · Type 1 NPI
Lucas Dieckhaus
Professional Counselor · Washington, MO
NPI number
1376089250
Active
Practice location
305 Walnut St
Washington, MO 63090-2626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2014022286 (MO) |
Professional Counselor: Definition to come...
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About NPI 1376089250
Lucas Dieckhaus's National Provider Identifier is 1376089250, issued on Jan 16, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Washington, MO. The record was last updated on Jan 16, 2017.