Individual
PAULINE LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 AVENIDA MANANA NE, ALBUQUERQUE, NM 87110-5748
(505) 235-2429
(505) 254-2294
Mailing address
1401 AVENIDA MANANA NE, ALBUQUERQUE, NM 87110-5748
(505) 235-2429
(505) 254-2294
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1840
NM
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
M-0827
NM
Other
Enumeration date
02/16/2007
Last updated
03/28/2024
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