Provider Demographics
NPI:1265755045
Name:LUCERO, JOSEPHINE (MA, LPC)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:
Last Name:LUCERO
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2133 S BELLAIRE ST STE 11
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4933
Mailing Address - Country:US
Mailing Address - Phone:303-815-0346
Mailing Address - Fax:303-722-2324
Practice Address - Street 1:2133 S BELLAIRE ST STE 11
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4933
Practice Address - Country:US
Practice Address - Phone:303-815-0346
Practice Address - Fax:303-722-2324
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1852101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional