Individual
MR. LUCAS AARON BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LICDC, IMFT
Contact information
Practice address
725 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4380
(330) 330-8655
(330) 330-8657
Mailing address
412 N ELM ST, COLUMBIANA, OH 44408-1025
(330) 429-3670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA165216
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161820
OH
101YM0800X
Mental Health Counselor
C.1800799-TRNE
OH
106H00000X
Marriage & Family Therapist
Primary
F.2500544
OH
106H00000X
Marriage & Family Therapist
M.2100176
OH
Other
Enumeration date
05/01/2018
Last updated
12/04/2025
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