BLAKE ANTHONY LUCAS

LEMON GROVE, CA
NPI1427697366
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-12-23
Last Update Date2019-12-23
Business Address
BLAKE ANTHONY LUCAS
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
Mailing Address
BLAKE ANTHONY LUCAS
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277
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