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GIZELLA LUCCIO, CADC II & QMHP-C
328 S. CENTRAL AVE, SUITE 212
MEDFORD, OR97501
 Phone: 541-944-0748
 Fax: 541-482-6462
 Website:
Indicates primary specialty

NPI Profile & details for GIZELLA LUCCIO · (Female)

NPI Number 1306140298
Status Active
Credentials CADC II & QMHP-C
Entity Individual
Enumeration date 01/06/2011
Last updated 03/26/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # M.A.T.S.
  • OR License # 12-09-620
  • OR License # 19-QMNPC-00730
  • OR License # 819261
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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