Provider Demographics
NPI:1780339317
Name:LUCAS, MONICA (LMFT)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:LUCAS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:LUNA
Other - Middle Name:MONICA
Other - Last Name:LUCAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:672 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-4008
Mailing Address - Country:US
Mailing Address - Phone:415-252-4876
Mailing Address - Fax:
Practice Address - Street 1:672 2ND AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-4008
Practice Address - Country:US
Practice Address - Phone:415-252-4876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA130758103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical