Individual
MR. CHRISTOPHER SHAWN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2023 RICHVIEW RD, MOUNT VERNON, IL 62864-2884
(618) 242-6944
Mailing address
120 IRIS LN, CARMI, IL 62821-1749
(618) 383-6008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.006336
IL
Other
Enumeration date
04/16/2007
Last updated
08/23/2012
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