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Domonique Lucio
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1336603547

Domonique Lucio is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Domonique Lucio practices in San Diego, CA. The NPI Number for Domonique Lucio is 1336603547 and holds a License No. (California).

The current practice location address for Domonique Lucio is 8775 Aero Dr, San Diego, CA and can be reached out via phone at 858-609-8742.

Location: 8775 Aero Dr, San Diego, CA, 92123-1779
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336603547
Provider Name
Domonique Lucio
Credential
Provider Entity Type
Individual
Gender
Female
Address
8775 Aero Dr, San Diego, CA, 92123-1779
Phone Number
858-609-8742
Fax Number
Provider Enumeration Date
01/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8775 Aero Dr
City
San Diego
State
California
Zip
92123-1792
Phone Number
858-609-8742
Fax Number
person
Provider Business Mailing Address Details
Address
8775 Aero Dr
City
San Diego
State
California
Zip
92123-1792
Phone Number
858-609-8742
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.
()
Definition
Definition to come...
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