Organization
LUCAS PSYCHOTHERAPY AND CONSULTING
Active
Other names
Center for Brain Training
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY BOWLER LUCAS M.A., LCPC (PRESIDENT/DIRECTOR)
(630) 664-7251
Entity
Organization
Contact information
Practice address
236 S WASHINGTON ST, SUITE 200, NAPERVILLE, IL 60540-5371
(630) 664-7251
(630) 355-8412
Mailing address
756 SIGMUND RD, NAPERVILLE, IL 60563-1338
(630) 983-6251
(630) 355-8412
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180000716
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861543423
SUBPART- COUNSELOR PROFESSIONAL, COUNSELOR ADDICTION
IL
Enumeration date
07/14/2010
Last updated
07/14/2010
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