Individual
CHARITY LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6711 STATE AVE, KANSAS CITY, KS 66102-3020
(913) 359-6111
Mailing address
130 E 5TH ST, NEWTON, KS 67114-2206
(316) 283-6743
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11151
KS
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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