MARIO LAVELL LUCKETT

CHICAGO, IL
NPI1386352839
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-11-14
Last Update Date2024-06-04
Business Address
Mr. MARIO LAVELL LUCKETT LPC
1616 N DAMEN AVE STE 301
CHICAGO, IL 60647-5536
Phone number: 630-428-7890
Mailing Address
Mr. MARIO LAVELL LUCKETT LPC
2512 N AVERS AVE APT 2
CHICAGO, IL 60647-1016
Phone number: 312-860-9342