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Individual

DR. JEFF W LUCAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D. MSW, LCPC,LMHC

Contact information

Practice address
2 MID AMERICA PLZ, SUITE 800, OAKBROOK TERRACE, IL 60181-4451
(630) 916-9926
(630) 916-9925
Mailing address
2 MID AMERICA PLZ, SUITE 800, OAKBROOK TERRACE, IL 60181-4451
(630) 916-9926
(630) 916-9925

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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