Individual
CHRISTINE LEE LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 M ST, FRESNO, CA 93721-1808
(559) 264-2700
(559) 264-2767
Mailing address
601 SUNRISE AVE BLDG F, MADERA, CA 93638-3820
(541) 905-8079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1531251023
CA
Other
Enumeration date
05/28/2024
Last updated
07/16/2024
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