MEDICARE: ADONA LUCAJ LLPC, CRC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	6451024361	MI

General Provider Information

NPI Number	:	1417843541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADONA LUCAJ LLPC, CRC

Provider Business Mailing Address
First Line	:	29433 LAUREL DR
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-2831
Country	:	US
Telephone Number	:	248-307-6028
Fax Number	:

Provider Business Practice Location Address
First Line	:	29433 LAUREL DR
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-2831
Country	:	US
Telephone Number	:	248-307-6028
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2025
Last Update Date	:	06/16/2025

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