person
John Lacy
Mental Health Counselor in Milwaukie, Oregon
NPI 1003431362

John Lacy is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. John Lacy practices in Milwaukie, OR. The NPI Number for John Lacy is 1003431362 and holds a License No. PROFESSIONALLICENSE (Oregon).

The current practice location address for John Lacy is 4199 Se King Rd, Milwaukie, OR and can be reached out via phone at 503-786-3830 and via fax at 503-653-3534.

Location: 4199 Se King Rd, Milwaukie, OR, 97504-4004
person
Provider Profile Details
NPI Number
1003431362
Provider Name
John Lacy
Credential
Provider Entity Type
Individual
Gender
Male
Address
4199 Se King Rd, Milwaukie, OR, 97504-4004
Phone Number
503-786-3830
Fax Number
503-653-3534
Provider Enumeration Date
06/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4199 Se King Rd
City
State
Zip
97222-5892
Phone Number
503-786-3830
Fax Number
503-653-3534
person
Provider Business Mailing Address Details
Address
4199 Se King Rd
City
State
Zip
97222-5892
Phone Number
503-786-3830
Fax Number
503-653-3534
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PROFESSIONALLICENSE ()
Definition
Definition to come...
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