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Contact Information

LUCAS M GARRISON
1266 14TH ST
OAKLAND, CA94607-2205
 Phone: 510-273-4700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

School

1041S0200X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LUCAS M GARRISON · (Male)

NPI # 1528557378
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2018
Last updated 10/24/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 111073
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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