Provider Demographics
NPI:1598487399
Name:LOPEZ-LUCAS, CASSANDRA MARIE (LPC)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:MARIE
Last Name:LOPEZ-LUCAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7123 TALL OAK LN
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-6834
Mailing Address - Country:US
Mailing Address - Phone:831-383-9662
Mailing Address - Fax:
Practice Address - Street 1:7123 TALL OAK LN
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-6834
Practice Address - Country:US
Practice Address - Phone:831-383-9662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2025-10-14
Deactivation Date:2025-07-23
Deactivation Code:
Reactivation Date:2025-08-13
Provider Licenses
StateLicense IDTaxonomies
VA0701015074101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health