Individual
DAVID LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSC-AD
Contact information
Practice address
111 E MAIN ST, ELKTON, MD 21921-5996
(443) 406-3234
Mailing address
147 N MAIN ST, PORT DEPOSIT, MD 21904-1211
(667) 298-5367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC2937
MD
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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