Provider Demographics
NPI:1881978716
Name:LUCIANO, LORRAINE (LPC)
Entity type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:
Last Name:LUCIANO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:LORRAINE
Other - Middle Name:
Other - Last Name:SAVITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:6005 W KERRY LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-7690
Mailing Address - Country:US
Mailing Address - Phone:623-521-7288
Mailing Address - Fax:
Practice Address - Street 1:6005 W KERRY LN
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-7690
Practice Address - Country:US
Practice Address - Phone:623-521-7288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-11137101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional