Luera, Delores Diane

Luera, Delores Diane is an sole proprietor health care provider with primary practice located at 8212 Ithaca Ave Suite W6, Lubbock TX 79423-2632. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Luera, Delores Diane can be contacted via phone (806) 787-8669.

Contact Information

Primary practice address
8212 Ithaca Ave Suite W6 Lubbock TX 79423-2632
Phone: (806) 787-8669
Fax: (806) 866-2046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 66168 Texas
Behavioral Health & Social Service Providers / Social Worker 104100000X 30772 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 8370 Texas

Profile Details

NPI number 1689907735
LBN Legal business name Luera, Delores Diane
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2009
Last updated Jul 24th, 2012 - about 12 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 1689907735 NPPES
Texas MEDICAID 065363601

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