Provider Demographics
NPI:1689881344
Name:LUKEN, PATRICIA (MFT)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:LUKEN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:80 EUREKA SQ
Mailing Address - Street 2:SUITE 120
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-2654
Mailing Address - Country:US
Mailing Address - Phone:925-336-0367
Mailing Address - Fax:
Practice Address - Street 1:80 EUREKA SQ
Practice Address - Street 2:SUITE 120
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-2654
Practice Address - Country:US
Practice Address - Phone:925-336-0367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37859106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist