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NPI Code Detail

MEDICARE: MARIA LUCY ESQUEDA

MEDICARE: MARIA LUCY ESQUEDA
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) Counselor

General Provider Information

NPI Number : 1225730989
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA LUCY ESQUEDA
Provider Business Mailing Address
First Line : 1100 N D ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92410-3524
Country : US
Telephone Number : 909-888-6956
Fax Number :
Provider Business Practice Location Address
First Line : 1369 E HIGHLAND AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92404-4640
Country : US
Telephone Number : 909-506-3012
Fax Number : 909-885-6852
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2023
Last Update Date : 03/09/2026

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Directions to “ MARIA LUCY ESQUEDA ” Practice Location

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