Individual provider · Type 1 NPI

Michael Nathan Lucas, SUDRC II

Addiction (Substance Use Disorder) Counselor · San Mateo, CA

NPI number 1396642575 Active

Practice location

2251 Palm Ave
San Mateo, CA 94403-1814

Call (650) 513-6500 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1396642575

Michael Nathan Lucas, SUDRC II's National Provider Identifier is 1396642575, issued on Oct 21, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Mateo, CA. The record was last updated on Oct 21, 2026.