Individual provider · Type 1 NPI
Domonique Lucio
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1336603547
Active
Practice location
8775 Aero Dr
San Diego, CA 92123-1792
Mailing address
8775 Aero Dr Ste 132
San Diego, CA 92123-1779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1336603547
Domonique Lucio's National Provider Identifier is 1336603547, issued on Jan 22, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Jan 22, 2019.