Individual
MICHAEL LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1120 2ND ST NW, ALBUQUERQUE, NM 87102-2218
(505) 242-4399
Mailing address
1120 2ND ST NW, ALBUQUERQUE, NM 87102-2218
(505) 242-4399
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0166701
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56451831
—
NM
Enumeration date
11/30/2006
Last updated
12/08/2019
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