Individual
JESSICA LEA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MT-BC
Contact information
Practice address
59 BRIMNER DR, CRAWFORDVILLE, FL 32327-1257
(850) 879-2945
Mailing address
59 BRIMNER DR, CRAWFORDVILLE, FL 32327-1257
(850) 879-2945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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