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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

Quick Facts

NPI
1912507021
Entity Type
Organization
Medicare
Not confirmed
Specialties
8
Locations
2

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