Individual
MR. DANIEL LEWIS LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1059 AZALEA POINTE DR, PORT ORANGE, FL 32129-4100
(386) 235-8299
Mailing address
1059 AZALEA POINTE DR, PORT ORANGE, FL 32129-4100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
612192
FL
101YP2500X
Professional Counselor
Primary
612192
FL
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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