Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LUCAS JOHN MOULDER, MA, LPCC
Active Sole ProprietorMR. LUCAS JOHN MOULDER, MA, LPCC is a Professional Counselor healthcare provider located in LAKEVILLE, Minnesota. NPI 1386150142 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · LAKEVILLE, MN
Registration Details
- NPI Number
- 1386150142
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 15, 2017 (8.6181491112765 yrs)
- Last Updated
- Dec 15, 2017
- License
-
CC01674 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7580 160TH ST WLAKEVILLE, MN, 550448348Browse MN providers · Browse ZIP 55044
- Phone
- 9528920897
- Fax
- 9524356797
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in LAKEVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| MS. JULIA SWEDBERG | MA, LPC | 1053433508 |
| MR. JEFF OLSON | LPC | 1356528491 |
| CARLA RAE HUNT | MS | 1861657876 |
| MRS. MICHELLE MARIE RUDE | MA, LPC | 1073752952 |
| KELLY LEE WILKINSON | MA, LPCC | 1043504145 |
| TRACY KOTVAL | MA, L.P.C.C. | 1063750016 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.