person
Lacey Bass
Mental Health Counselor in Fort Wayne, Indiana
NPI 1316705171

Lacey Bass is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Lacey Bass practices in Fort Wayne, IN. The NPI Number for Lacey Bass is 1316705171 and holds a License No. (Indiana).

The current practice location address for Lacey Bass is 2250 Lake Ave Ste 100, Fort Wayne, IN and can be reached out via phone at 260-543-0009.

Location: 2250 Lake Ave Ste 100, Fort Wayne, IN, 46805-5352
person
Provider Profile Details
NPI Number
1316705171
Provider Name
Lacey Bass
Credential
Provider Entity Type
Individual
Gender
Female
Address
2250 Lake Ave Ste 100, Fort Wayne, IN, 46805-5352
Phone Number
260-543-0009
Fax Number
Provider Enumeration Date
03/07/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2250 Lake Ave Ste 100
City
State
Zip
46805-5352
Phone Number
260-543-0009
Fax Number
person
Provider Business Mailing Address Details
Address
2250 Lake Ave Ste 100
City
State
Zip
46805-5352
Phone Number
260-543-0009
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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