Individual
EMILY SUZANNA LUCERO-DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC III
Contact information
Practice address
302 BARNES AVE, LA JUNTA, CO 81050-1329
(719) 384-8503
(719) 384-8411
Mailing address
711 BARNES AVE, LA JUNTA, CO 81050-2138
(719) 384-5446
(719) 384-5672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6324
CO
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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