Individual
DR. JEFF W LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D. MSW, LCPC,LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH 11990
FL
103TR0400X
Rehabilitation Psychologist
180000760
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180-000760
LICENSED CLINICAL PROFESSIONAL COUNSELOR
IL
01
—
85591931
MEMBER AMERICAN PSYCHOLOGICAL ASSOCIATION
FL
01
—
MH 119990
LICENSED MENTAL HEALTH COUNSELOR
FL
Enumeration date
01/30/2012
Last updated
09/02/2013
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