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Individual
VICKIE SHANE LUCERO
Active
Individual
VICKIE SHANE LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD0001852
CO
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC0005987
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACD0001852
LAC
CO
01
—
LPC0005987
LPC
CO
Enumeration date
09/08/2008
Last updated
12/02/2022
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