person
Mrs. Shacola Lacy, SUDCC#11319
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1023554896

Shacola Lacy is an Addiction (Substance Use Disorder) Counselor based in Fresno, CA and is specialized in Addiction (Substance Use Disorder). Shacola Lacy practices in Fresno, CA and has the professional credentials of SUDCC#11319. The NPI Number for Shacola Lacy is 1023554896 and holds a License No. (California).

The current practice location address for Shacola Lacy is 4452 E Cesar Chavez Blvd, Fresno, CA and can be reached out via phone at 559-600-6068 and via fax at 559-600-6090.

Location: 4452 E Cesar Chavez Blvd, Fresno, CA, 93702
person
Provider Profile Details
NPI Number
1023554896
Provider Name
Shacola Lacy
Credential
SUDCC#11319
Provider Entity Type
Individual
Gender
Female
Address
4452 E Cesar Chavez Blvd, Fresno, CA, 93702
Phone Number
559-600-6068
Fax Number
559-600-6090
Provider Enumeration Date
01/17/2017
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
4452 E Cesar Chavez Blvd
City
State
Zip
93702
Phone Number
559-600-6068
Fax Number
559-600-6090
person
Provider Business Mailing Address Details
Address
4452 E Cesar Chavez Blvd
City
State
Zip
93702
Phone Number
559-600-6068
Fax Number
559-600-6090
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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