Individual
JONATHAN CORY LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A, M.A, ED.S
Contact information
Practice address
9291 OLD REDWOOD HWY BLDG 500, WINDSOR, CA 95492-8089
(707) 837-7700
Mailing address
3515 HIDDEN HILLS DR, SANTA ROSA, CA 95404-1307
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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