JASON NATHANIEL LUCAS

DANVILLE, IL
NPI1629625611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-08-23
Last Update Date2019-08-23
Business Address
JASON NATHANIEL LUCAS BS
210 AVENUE C
DANVILLE, IL 61832-5410
Phone number: 217-442-3200
Mailing Address
JASON NATHANIEL LUCAS BS
210 AVENUE C
DANVILLE, IL 61832-5410
Phone number: 217-442-3200
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