Individual
MR. WILLIAM ROBERT LUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADAC IV
Contact information
Practice address
2860 NORTHPARK AVE, HUNTINGTON, IN 46750-9700
(260) 356-2876
(260) 358-0611
Mailing address
850 N HARRISON ST, WARSAW, IN 46580-3163
(574) 267-7169
(574) 269-3995
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C276
IN
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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