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LUCID LANE PROVIDERS, P.C.
Mental Health Counselor
NPI: 1912507021Organization
Specialties, Licenses & Credentials
Professional Counselor
Counselor — Professional
Code: 101YP2500X
Clinical Psychologist
Psychologist — Clinical
Code: 103TC0700X
Group Psychotherapy Psychologist
Psychologist — Group Psychotherapy
Code: 103TP2701X
Clinical Social Worker
Social Worker — Clinical
Code: 1041C0700X
Internal Medicine Physician
Internal Medicine
Code: 207R00000X
Occupational Medicine Physician
Preventive Medicine — Occupational Medicine
Code: 2083X0100X
Psychiatry Physician
Psychiatry & Neurology — Psychiatry
Code: 2084P0800X
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
Contact & Hours
Via practice · 2 locations total
- Address
- 3251 PLACE DU JARDIN, OPTIONAL
SAN JOSE, CA 95148 - Phone
- (630) 589-2730
Quick Facts
- NPI
- 1912507021
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 8
- Locations
- 2
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