Individual
ALISHA LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
3269 S MAIN ST STE 100, SOUTH SALT LAKE, UT 84115-3773
(385) 213-0513
Mailing address
3269 S MAIN ST STE 100, SOUTH SALT LAKE, UT 84115-3773
(385) 213-0513
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
F24-112933
UT
175T00000X
Peer Specialist
Primary
2653
UT
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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