Individual
MR. THOMAS A LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
2 CHURCH ST, SUITE 2D, BURLINGTON, VT 05401-4299
(802) 363-4912
Mailing address
267 MARBLE ISLAND RD, COLCHESTER, VT 05446-6516
(802) 363-4912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000193
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007195
—
VT
01
—
2052637
CIGNA
VT
01
—
29864
BCBS
VT
01
—
357568
MHN
VT
Enumeration date
02/23/2006
Last updated
12/08/2010
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