Individual
LUCAS BARAJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21275 STICK ROSS MOUNTAIN RD, TAHLEQUAH, OK 74464-7343
(918) 316-1309
Mailing address
21761 S 523 RD LOT 20, PARK HILL, OK 74451-4209
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
04/07/2026
Last updated
05/26/2026
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