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Michelle Ilene Lujan, SUDCC

Counselor in King City, CA. Individual provider (NPI-1).

NPI number1114654282
StatusActive
Last updated in NPPESJan 8, 2026

Details

NPI
1114654282
Entity type
Individual (NPI-1)
Name
Michelle Ilene Lujan
Credential
SUDCC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 8, 2022
Certification date
Jan 8, 2026
Last updated
Jan 8, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor13791CAYes

Practice location

637 Broadway St
King City, CA 93930-3231

Phone 831-525-8181 · Fax 831-525-8130

Mailing address

637 Broadway St
King City, CA 93930-3231

Phone 831-525-8181 · Fax 831-525-8130

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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