Provider Demographics
NPI:1831389881
Name:CUERO, JODENE (LMFT 102333)
Entity type:Individual
Prefix:MRS
First Name:JODENE
Middle Name:
Last Name:CUERO
Suffix:
Gender:F
Credentials:LMFT 102333
Other - Prefix:MS
Other - First Name:JODENE
Other - Middle Name:
Other - Last Name:PLATERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36650 HIGHWAY 94
Mailing Address - Street 2:
Mailing Address - City:CAMPO
Mailing Address - State:CA
Mailing Address - Zip Code:91906-2701
Mailing Address - Country:US
Mailing Address - Phone:619-486-7385
Mailing Address - Fax:
Practice Address - Street 1:36650 HIGHWAY 94
Practice Address - Street 2:
Practice Address - City:CAMPO
Practice Address - State:CA
Practice Address - Zip Code:91906-2701
Practice Address - Country:US
Practice Address - Phone:619-486-7385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT102333106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist