Individual
CECILIA MICHELLE LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12450 VAN NUYS BLVD, SUITE 200, PACOIMA, CA 91331-1391
(818) 896-1161
(818) 896-5069
Mailing address
23515 LYONS AVE UNIT 270, VALENCIA, CA 91355-3080
(310) 694-7817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7068
—
CA
05
—
7420
—
CA
Enumeration date
09/15/2008
Last updated
09/15/2008
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