Individual provider · Type 1 NPI
Gizella Luccio, CADC II & QMHP-C
Addiction (Substance Use Disorder) Counselor · Medford, OR
NPI number
1306140298
Active
Practice location
328 S. Central Ave, Suite 212
Medford, OR 97501
Fax (541) 482-6462
Mailing address
165 Taylor Ave.
Talent, OR 97540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | 19-QMNPC-00730 (OR) |
| Pastoral Counselor | 101YP1600X | M.A.T.S. (CA) |
| Behavior Analyst | 103K00000X | 819261 (OR) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12-09-620 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1306140298
Gizella Luccio, CADC II & QMHP-C's National Provider Identifier is 1306140298, issued on Jan 6, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Mar 26, 2022.