IndividualActive
Lutricia Cisco, RN
NPI 1245852524 · Pastoral Counselor · Olympia, WA
Provider details
- NPI number
- 1245852524
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN60086332 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Nursing Service Providers
Practice location
400 Union Ave Se Ste 244
Olympia, WA 98501-2060
Phone: (360) 918-7240
Fax: (360) 459-3705
Approximate (ZIP-level) locationGet directions
Mailing address
1617 Fones Rd Se Trlr 35
Olympia, WA 98501-7408
Registry dates
- Enumerated
- 2020-05-10
- Last updated
- 2020-05-10
- Certified
- 2020-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.