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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone 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.