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1073024063
JASON LUCAS
IRONTON, OH
NPI
1073024063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LCDCII.161546)
Enumeration Date
2017-10-17
Last Update Date
2018-12-17
Business Address
JASON LUCAS LCDCII,QMHS
700 PARK AVE
IRONTON, OH 45638-1502
Phone number: 740-532-1613
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Mailing Address
JASON LUCAS LCDCII,QMHS
PO BOX 108
IRONTON, OH 45638-0108
Phone number: 740-532-1613
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