Individual
DANIEL REED LUCAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399
Mailing address
545 LAUREL ST APT 103, SAN DIEGO, CA 92101-1634
(619) 233-4399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2021
Last updated
11/22/2023
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