Individual
ANNALYSE LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
1758 SIOUX TRL, GULF BREEZE, FL 32563-9257
(505) 261-0923
Mailing address
1758 SIOUX TRL, GULF BREEZE, FL 32563-9257
(505) 261-0923
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CTB-2023-0013
NM
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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