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General NPI Number Information
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NPI Number | 1487142857
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Entity Type | Individual
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Provider Name | LUCAS AARON BENNETT MA, LICDC, IMFT
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Gender | Male
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 725 BOARDMAN CANFIELD RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-4380
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Country | US
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Telephone | 330-330-8655
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Fax | 330-330-8657
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Provider Business Mailing Address
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Address Line | 412 N ELM ST
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City | COLUMBIANA
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State | OH
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Zip | 44408-1025
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Country | US
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Telephone | 330-429-3670
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | M.2100176
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA165216
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.1800799-TRNE
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LICDC.161820
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | F.2500544
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License Number State | OH
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