Juan Lucero, LCSW-38062
Juan Lucero, LCSW-38062 is a Clinical Social Worker in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2015
Practice location Address checks out
412 W Center St Ste 300Pocatello, ID 83204-3238
Phone: (208) 406-9323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence LCSW-38062 (ID) |
|---|
Record details
| NPI number | 1821463704 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW-38062 |
| Sole proprietor | Yes |
| NPI enumerated | December 3, 2015 |
| Last updated in NPPES | January 7, 2021 |
| Certification date | January 7, 2021 |
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