Blair, Lucas

Blair, Lucas is an individual health care provider with primary practice located at 36 N Detroit St , Xenia OH 45385-2909. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Blair, Lucas can be contacted via phone (937) 610-4673.

Contact Information

Primary practice address
36 N Detroit St Xenia OH 45385-2909
Phone: (937) 610-4673
Fax: (937) 736-2615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.162201 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1802360 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.2304670 Ohio

Profile Details

NPI number 1033545520
LBN Legal business name Blair, Lucas
Credentials LSW, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2013
Last updated Dec 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033545520 NPPES
Ohio MEDICAID 0293846

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