Individual provider · Type 1 NPI

Michael Louis Lusk Jr., PhD

Mental Health Counselor · Vancouver, WA

NPI number 1922768571 Active

Practice location

652 Officers Row
Vancouver, WA 98661-3836

Call (360) 949-9140 Map

Fax (360) 838-2194

Mailing address

1500 S 18th St Apt M202
Renton, WA 98055-3584

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH60888575 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1922768571

Michael Louis Lusk Jr., PhD's National Provider Identifier is 1922768571, issued on Dec 22, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Dec 22, 2021.