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NPI Code Detail

MEDICARE: CLAUDIA LUCETTE LOSCO SUDCC IV

MEDICARE: CLAUDIA LUCETTE LOSCO SUDCC IV
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor20608CA
2101YM0800XMental Health Counselor
3171M00000XCase Manager/Care Coordinator
4225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1063862159
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDIA LUCETTE LOSCO SUDCC IV
Provider Business Mailing Address
First Line : 2120 ALPINE BLVD
Second Line :
City : ALPINE
State : CA
Zip : 91901-2113
Country : US
Telephone Number : 619-445-2644
Fax Number :
Provider Business Practice Location Address
First Line : 2120 ALPINE BLVD
Second Line :
City : ALPINE
State : CA
Zip : 91901-2113
Country : US
Telephone Number : 619-445-2644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2016
Last Update Date : 03/11/2026

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