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Individual

MR. GEORGE LUCAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSAC

Contact information

Practice address
875 WAIMANU ST STE 614, HONOLULU, HI 96813-5267
(808) 533-3936
(808) 791-6198
Mailing address
875 WAIMANU ST STE 614, HONOLULU, HI 96813-5267
(808) 533-3936
(808) 791-6198

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1479-09
HI

Other

Enumeration date
07/19/2012
Last updated
07/19/2012
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