Individual
CHRYSTAL LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2516 DAFFODIL CT E, COLUMBUS, IN 47201-5648
(812) 767-4934
Mailing address
2516 DAFFODIL CT E, COLUMBUS, IN 47201-5648
(812) 767-4934
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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