Provider Demographics
NPI:1356639694
Name:LUCERO-MARTINEZ, KARIN (MS)
Entity type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:
Last Name:LUCERO-MARTINEZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 COUNTY SQUARE DR STE 112
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5475
Mailing Address - Country:US
Mailing Address - Phone:805-628-2025
Mailing Address - Fax:805-256-6083
Practice Address - Street 1:950 COUNTY SQUARE DR STE 112
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5475
Practice Address - Country:US
Practice Address - Phone:805-628-2025
Practice Address - Fax:805-256-6083
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health