Provider Demographics
NPI:1083225445
Name:LUKOWSKI, KARA (LCPC)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:LUKOWSKI
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9018 SUNNI SHADE CT
Mailing Address - Street 2:
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9222
Mailing Address - Country:US
Mailing Address - Phone:845-633-0278
Mailing Address - Fax:
Practice Address - Street 1:9018 SUNNI SHADE CT
Practice Address - Street 2:
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9222
Practice Address - Country:US
Practice Address - Phone:410-256-2777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC10048101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health