Individual
AUSTIN DAVID LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
926 SOUTH 8TH STREET, MANITOWOC, WI 54221-1177
(920) 683-4230
(920) 683-4908
Mailing address
1117 N 8TH ST, MANITOWOC, WI 54220-2817
(906) 239-0219
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16247
WI
1041C0700X
Clinical Social Worker
Primary
9090
WI
Other
Enumeration date
02/08/2017
Last updated
09/11/2023
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