Organization
EL LUCERO - A BILINGUAL LIFE SKILLS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUZ AMALYA GONZALEZ CSAC (DIRECTOR-BILINGUAL INSTRUCTOR)
(540) 372-7211
Entity
Organization
Contact information
Practice address
106 CAMBRIDGE ST, SUITE 105, FREDERICKSBURG, VA 22405-1952
(540) 372-7211
(540) 372-7223
Mailing address
PO BOX 42178, FREDERICKSBURG, VA 22404-2178
(540) 372-7211
(540) 372-7233
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
0710102137
VA
252Y00000X
Early Intervention Provider Agency
0710102137
VA
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
0710102137
VA
302F00000X
Exclusive Provider Organization
0710102137
VA
324500000X
Substance Abuse Rehabilitation Facility
Primary
0710102137
VA
Other
Enumeration date
08/15/2006
Last updated
02/16/2011
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