JASON LUCAS

IRONTON, OH
NPI1073024063
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LCDCII.161546)
Enumeration Date2017-10-17
Last Update Date2018-12-17
Business Address
JASON LUCAS LCDCII,QMHS
700 PARK AVE
IRONTON, OH 45638-1502
Phone number: 740-532-1613
Mailing Address
JASON LUCAS LCDCII,QMHS
PO BOX 108
IRONTON, OH 45638-0108
Phone number: 740-532-1613
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