Lucker, Donna Marie
Lucker, Donna Marie is an individual health care provider with primary practice located at 1107 N Point Blvd Suite 205, Baltimore MD 21224-3420. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Lucker, Donna Marie can be contacted via phone (410) 284-3070.Contact Information
Primary practice address
1107 N Point Blvd Suite 205
Baltimore MD 21224-3420
Phone: (410) 284-3070
Fax: (410) 285-3848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Maryland | |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCA335 | Maryland |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LC1495 | Maryland |
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | Maryland | |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC1495 | Maryland |
Profile Details
| NPI number | 1851453930 |
|---|---|
| LBN Legal business name | Lucker, Donna Marie |
| Credentials | LCPC, LCADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851453930 | NPPES |
| Maryland | MEDICAID | 114351 |
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