Individual provider · Type 1 NPI
Ethan D. Lucas
Peer Specialist · Malden, MO
NPI number
1992506554
Active
Practice location
500 Barrett Thrive
Malden, MO 63863
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Other peer specialist providers in Malden
About NPI 1992506554
Ethan D. Lucas's National Provider Identifier is 1992506554, issued on Mar 20, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Malden, MO. The record was last updated on Mar 20, 2025.