Jeronimo, Lucy

Jeronimo, Lucy is an individual health care provider with primary practice located at 641 Broadway St , King City CA 93930-3231. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jeronimo, Lucy can be contacted via phone (831) 525-8101.

Contact Information

Primary practice address
641 Broadway St King City CA 93930-3231
Phone: (831) 525-8101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1303940418 California

Profile Details

NPI number 1134774375
LBN Legal business name Jeronimo, Lucy
Credentials CADC I
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2019
Last updated Aug 5th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134774375 NPPES
California Other R1303940418 CCAPP

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