Individual provider · Type 1 NPI
Jessica Rose Lucas
Developmental Therapist · Hazard, KY
Practice location
1028 Lotts Creek Rd
Hazard, KY 41701
Mailing address
PO Box 615
Bulan, KY 41722-0615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Developmental Therapist Primary | 222Q00000X | 201115741 (KY) |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1124297429
Jessica Rose Lucas's National Provider Identifier is 1124297429, issued on Feb 21, 2008. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Hazard, KY. The record was last updated on Aug 22, 2014.