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Contact Information

JEFF W LUCAS, PH.D. MSW, LCPC,LMHC
2 MID AMERICA PLZ
SUITE 800
OAKBROOK TERRACE, IL60181-4451
 Phone: 630-916-9926
 Fax: 630-916-9925
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEFF W LUCAS · (Male)

NPI Number 1053683565
Status Active
Credentials PH.D. MSW, LCPC,LMHC
Entity Individual
Enumeration date 01/30/2012
Last updated 09/02/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # MH 11990
  • IL License # 180000760
  • FL Other MH 119990 LICENSED MENTAL HEALTH COUNSELOR
  • FL Other 85591931 MEMBER AMERICAN PSYCHOLOGICAL ASSOCIATION
  • IL Other 180-000760 LICENSED CLINICAL PROFESSIONAL COUNSELOR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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