Candace Lucas, BS

NPI #1194378364 in Stone Mountain, Georgia

Provider Information

NPI Number: 1194378364
Entity Type: Individual
Name: Candace Lucas, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: BS
Enumeration Date: Jul 17, 2019
Last Updated: Jul 17, 2019

Practice Location

Address: 477 VILLAGE SQUARE CT
City: Stone Mountain
State: Georgia
ZIP Code: 30083-4274
Phone: (251) 554-1092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Recreation Therapist	225800000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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