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General NPI Number Information
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NPI Number | 1487948956
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Entity Type | Individual
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Provider Name | MS. MICHE'LE MARIE LUCIEN
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Gender | Female
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 2720 E PALMDALE BLVD STE 129
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City | PALMDALE
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State | CA
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Zip | 93550-4930
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Country | US
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Telephone | 661-947-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 43733 7TH ST E
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City | LANCASTER
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State | CA
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Zip | 93535-1210
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Country | US
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Telephone | 323-952-6074
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | AII052990318
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License Number State |
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