JAMES OTTO LUCAS

LAKE HAVASU CITY, AZ
NPI1700355757
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC10723)
Enumeration Date2018-11-20
Last Update Date2018-11-20
Business Address
JAMES OTTO LUCAS LISAC
2080 ACOMA BLVD W UNIT A
LAKE HAVASU CITY, AZ 86403-2971
Phone number: 928-821-2424
Mailing Address
JAMES OTTO LUCAS LISAC
2080 ACOMA BLVD W UNIT A
LAKE HAVASU CITY, AZ 86403-2971
Phone number: 928-453-8003
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