Individual
CHANTEL MARIE LUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
13334-R
Contact information
Practice address
2150 N VICTORIA AVE, OXNARD, CA 93036-7791
(805) 832-2995
Mailing address
2150 N VICTORIA AVE, OXNARD, CA 93036-7791
(805) 832-2995
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13334-R
CA
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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