Individual
CARMEN A LUCERO-HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAC II
Contact information
Practice address
597 OLD MOUNT HOLLY RD STE 300, GOOSE CREEK, SC 29445-2832
(843) 501-1099
Mailing address
1306 11TH AVE, GREELEY, CO 80631-3835
(970) 347-2120
(970) 353-3906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7032
CO
101YP2500X
Professional Counselor
5053
CO
101YP2500X
Professional Counselor
Primary
7807
SC
Other
Enumeration date
09/15/2006
Last updated
05/24/2023
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