Doctor Name: | LUZ PLASCENCIA |
NPI Number: | 1104252253 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 13-04 |
Business Practice Address: | 535 Cesar Chavez Blvd Calexico, CA - 922312103 |
Business Phone Number: | 7603576566 |
Business Fax Number: | |
Mailing Address: | 431 Grant St, CALEXICO |
State: | CA |
Postal Code: | 922312047 |
Phone Number: | 7603578956 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2013 |
NPI Last Update Date: | 09/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 13-04 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |