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Lacey Renae Corbett, MA,QMHP,LPC
Mental Health Counselor in Medford, Oregon
NPI 1669983086

Lacey Renae Corbett is a Mental Health Counselor based in Ashland, OR and is specialized in Mental Health. Lacey Renae Corbett practices in Medford, OR and has the professional credentials of MA,QMHP,LPC. The NPI Number for Lacey Renae Corbett is 1669983086 and holds a License No. C5649 (Oregon).

The current practice location address for Lacey Renae Corbett is 33 N Central Ave Ste 219C, Medford, OR and can be reached out via phone at 707-272-5590.

Location: 33 N Central Ave Ste 219C, Medford, OR, 97520-1251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669983086
Provider Name
Lacey Renae Corbett
Credential
MA,QMHP,LPC
Provider Entity Type
Individual
Gender
Female
Address
33 N Central Ave Ste 219C, Medford, OR, 97520-1251
Phone Number
707-272-5590
Fax Number
Provider Enumeration Date
10/12/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
33 N Central Ave Ste 219C
City
Medford
State
Oregon
Zip
97501-5900
Phone Number
707-272-5590
Fax Number
person
Provider Business Mailing Address Details
Address
33 N Central Ave Ste 219C
City
Medford
State
Oregon
Zip
97501-5900
Phone Number
707-272-5590
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C5649 (Oregon)
Definition
Definition to come...
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