Individual ProviderClare LucasCounselorBehavioral Health & Social Service ProvidersPractice Address4421 NE St Johns Rd, Vancouver, WA 98661-2573(360) 356-1326PECOS EnrollmentBased on the most recent information from CMS, provider Clare Lucas does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1285775833Provider TypeIndividualFull NameLucas, ClareCredentialLMHC, MSGenderFemaleSole ProprietorNoEnumeration Date2/8/2007Last Updated10/18/2023Contact InformationPractice LocationPractice Address4421 NE St Johns Rd, Vancouver, WA 98661-2573Phone(360) 356-1326FaxUnlisted FaxMailing LocationMailing AddressPO Box 605, Vancouver, WA 98666-0605Phone(360) 356-1326Fax(360) 695-9803Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH000010811WashingtonCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0001081WashingtonProvider IdentifiersIDDescriptionIssuerID2099737DescriptionMedicaidIssuerUnlistedWashington