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Lacy Johnson-bathurst
Mental Health Counselor in Oceanside, California
NPI 1134675085

Lacy Johnson-bathurst is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Lacy Johnson-bathurst practices in Oceanside, CA. The NPI Number for Lacy Johnson-bathurst is 1134675085 and holds a License No. (California).

The current practice location address for Lacy Johnson-bathurst is 1738 S Tremont St, Oceanside, CA and can be reached out via phone at 760-439-2800.

Location: 1738 S Tremont St, Oceanside, CA, 92154-1444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134675085
Provider Name
Lacy Johnson-bathurst
Credential
Provider Entity Type
Individual
Gender
Female
Address
1738 S Tremont St, Oceanside, CA, 92154-1444
Phone Number
760-439-2800
Fax Number
Provider Enumeration Date
08/31/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1738 S Tremont St
City
Oceanside
State
California
Zip
92054
Phone Number
760-439-2800
Fax Number
person
Provider Business Mailing Address Details
Address
1738 S Tremont St
City
Oceanside
State
California
Zip
92054
Phone Number
760-439-2800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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