Individual
MR. ROBERT THOMAS LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 W NIFONG BLVD STE 1B, COLUMBIA, MO 65203-6804
(573) 586-3204
Mailing address
1927 HAYSELTON DR, JEFFERSON CITY, MO 65109-1216
(814) 505-2096
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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