| NPI | 1396345310 |
|---|---|
| Other Name | CHAD LUKASIEWICZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017430) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0016809) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2021-12-20 |