Organization
505 FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNALYSE LUCERO LMFT (OWNER)
(505) 261-0923
Entity
Organization
Contact information
Practice address
1758 SIOUX TRL, GULF BREEZE, FL 32563-9257
(505) 234-6262
Mailing address
1758 SIOUX TRL, GULF BREEZE, FL 32563-9257
(505) 234-6262
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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