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Lucy Jeronimo, CADCI
Addiction (Substance Use Disorder) Counselor in King City, California
NPI 1134774375

Lucy Jeronimo is an Addiction (Substance Use Disorder) Counselor based in King City, CA and is specialized in Addiction (Substance Use Disorder). Lucy Jeronimo practices in King City, CA and has the professional credentials of CADCI. The NPI Number for Lucy Jeronimo is 1134774375 and holds a License No. R1303940418 (California).

The current practice location address for Lucy Jeronimo is 641 Broadway St, King City, CA and can be reached out via phone at 831-525-8101.

Location: 641 Broadway St, King City, CA, 93930-3231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134774375
Provider Name
Lucy Jeronimo
Credential
CADCI
Provider Entity Type
Individual
Gender
Female
Address
641 Broadway St, King City, CA, 93930-3231
Phone Number
831-525-8101
Fax Number
Provider Enumeration Date
08/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R1303940418 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
641 Broadway St
City
King City
State
California
Zip
93930-3231
Phone Number
831-525-8101
Fax Number
person
Provider Business Mailing Address Details
Address
641 Broadway St
City
King City
State
California
Zip
93930-3231
Phone Number
831-525-8101
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1303940418 (California)
Definition
Definition to come...
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