Individual
JENNIFER LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
6887 DIXIE HWY STE A, CLARKSTON, MI 48346-5107
(248) 620-1910
(248) 620-1026
Mailing address
6887 DIXIE HWY STE A, CLARKSTON, MI 48346-5107
(248) 620-1910
(248) 620-1026
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014293
MI
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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