Individual
MR. LUCAS EUGENE TOLSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
207 PERRY WILEY WAY, CHESTERFIELD, SC 29709
(843) 623-2229
Mailing address
PO BOX 918, BENNETTSVILLE, SC 29512
(843) 544-4060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7914
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
Enumeration date
01/09/2024
Last updated
01/09/2024
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