Organization
LUCAS PSYCHOTHERAPY AND CONSULTING
Active
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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