Most Relevant Information
Provider Data
| NPI Number: | 1003025313 |
| Provider Name: | CYNTHIA LUCAS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
585 S. RIVERSIDE DR
G
CLARKSVILLE
TN
37040
Practice Location Phone/Fax
| Phone: | 9315030777 |
| Fax: |
Provider Mailing Location
3890 MACKENZIE DR
CLARKSVILLE
TN
370428643
Provider Mailing Phone/Fax
| Phone: | 9315614285 |
| Fax: |