JEFFREY HENRY LUCERO

GRESHAM, OR
NPI1528428554
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L8010)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: UT  4971566-3501)
1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-34389)
Enumeration Date2016-03-03
Last Update Date2020-05-14
Business Address
Mr. JEFFREY HENRY LUCERO LCSW
4687 SE 1ST TERRACE
GRESHAM, OR 97080
Phone number: 801-949-2986
Mailing Address
Mr. JEFFREY HENRY LUCERO LCSW
4687 SE 1ST TERRACE
GRESHAM, OR 97080
Phone number: 801-949-2986