Individual
MR. BASIL P LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
233 NOSTRAND AVE, BROOKLYN, NY 11205-4924
(718) 564-2062
(718) 564-2032
Mailing address
77 N 22ND ST, #1, EAST ORANGE, NJ 07017-4901
(201) 207-1165
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
081315-1
NY
101YM0800X
Mental Health Counselor
Primary
081315-1
NY
103TA0700X
Adult Development & Aging Psychologist
081315-1
NY
103TB0200X
Cognitive & Behavioral Psychologist
081315-1
NY
103TC0700X
Clinical Psychologist
081315-1
NY
106H00000X
Marriage & Family Therapist
081315-1
NY
Other
Enumeration date
08/01/2008
Last updated
06/08/2010
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