Individual provider · Type 1 NPI
Keith Lucas
Addiction (Substance Use Disorder) Counselor · Madison, WI
NPI number
1215794334
Active
Practice location
25 Kessel Ct
Madison, WI 53711-6227
Mailing address
25 Kessel Ct Ste 105
Madison, WI 53711-6227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1215794334
Keith Lucas's National Provider Identifier is 1215794334, issued on Mar 5, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison, WI. The record was last updated on Mar 5, 2024.