Lutricia Levette Cisco
Pastoral Counselor
400 Union Ave Se Ste 244
Olympia
, Washington 98501-2060
Lutricia Levette Cisco
Pastoral Counselor
400 Union Ave Se Ste 244
Olympia
, Washington 98501-2060
(360) 459-3705
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Lutricia Levette Cisco
- 1617 Fones Rd Se Trlr 35
- Olympia, WA
- Zip : 98501-7408
- Fax : (360) 459-3705
- Phone : (360) 999-1910
Second Address
- Lutricia Levette Cisco
- 400 Union Ave Se Ste 244
- Olympia, WA
- Zip : 98501-2060
- Fax : (360) 459-3705
- Phone : (360) 918-7240
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor | WA |
National Provider Identifier
| NPI | 1245852524 |
|---|---|
| Provider Name | Lutricia Levette Cisco |
| First Address | Olympia, WA 98501-7408 |
| Second Address | Olympia, WA 98501-2060 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2020 |
| Last Update Date | 10/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.