Provider Demographics
NPI:1366598773
Name:LUCIER, PAULETTE MARIA (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:PAULETTE
Middle Name:MARIA
Last Name:LUCIER
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-6507
Mailing Address - Country:US
Mailing Address - Phone:530-802-5207
Mailing Address - Fax:530-802-5207
Practice Address - Street 1:241 E MAIN ST
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-6507
Practice Address - Country:US
Practice Address - Phone:530-802-5207
Practice Address - Fax:530-802-5207
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 38010106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist