Individual
HEATHER LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4285 N RANCHO DR STE 130, LAS VEGAS, NV 89130-3455
(702) 580-1039
Mailing address
4285 N RANCHO DR STE 130, LAS VEGAS, NV 89130-3455
(702) 580-1039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511743
—
NV
Enumeration date
04/24/2007
Last updated
08/12/2024
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