Provider Demographics
NPI:1982997581
Name:LUJAN, JOE M (MS PPS)
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:M
Last Name:LUJAN
Suffix:
Gender:M
Credentials:MS PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 N HELM AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-1670
Mailing Address - Country:US
Mailing Address - Phone:559-222-5437
Mailing Address - Fax:559-222-5445
Practice Address - Street 1:1945 N HELM AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-1670
Practice Address - Country:US
Practice Address - Phone:559-222-5437
Practice Address - Fax:559-222-5445
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)