Jacob, Lukose

Jacob, Lukose is an individual health care provider with primary practice located at 7765 S County Road 231 , Lake Butler FL 32054-5721. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jacob, Lukose can be contacted via phone (386) 496-6000.

Contact Information

Primary practice address
7765 S County Road 231 Lake Butler FL 32054-5721
Phone: (386) 496-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X XXXXXX Florida

Profile Details

NPI number 1912046640
LBN Legal business name Jacob, Lukose
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Nov 21st, 2014 - about 12 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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