Individual
MRS. DONNA MAE LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
388 ANO ST, KAHULUI, HI 96732-3311
(808) 877-7117
(888) 795-9730
Mailing address
PO BOX 1820, KAHULUI, HI 96733-1820
(808) 877-7117
(188) 879-5973
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1374-08
HI
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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