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1053076372
JASON CHRISTOPHER LUCICH
FARRELL, PA
NPI
1053076372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-11-02
Last Update Date
2021-11-02
Business Address
Mr. JASON CHRISTOPHER LUCICH BA, CADC, CCDP
1914 MERCER AVE
FARRELL, PA 16121-2505
Phone number: 724-981-9815
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Mailing Address
Mr. JASON CHRISTOPHER LUCICH BA, CADC, CCDP
1914 MERCER AVE
FARRELL, PA 16121-2505
Phone number:
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