Individual
THOMAS JAMES LUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
239 E MARKET ST, WEST CHESTER, PA 19382-2739
(855) 687-2410
(833) 687-2414
Mailing address
239 E MARKET ST, WEST CHESTER, PA 19382-2739
(855) 687-2410
(833) 687-2414
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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