Individual
JONATHAN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.I.S.W.
Contact information
Practice address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 230-5613
Mailing address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 230-5613
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1600310
OH
Other
Enumeration date
11/04/2014
Last updated
03/03/2022
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