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Cecelia Miller Cansino
Mental Health Counselor in Lacey, Washington
NPI 1750859419

Cecelia Miller Cansino is a Mental Health Counselor based in Lacey, WA and is specialized in Mental Health. Cecelia Miller Cansino practices in Lacey, WA. The NPI Number for Cecelia Miller Cansino is 1750859419 and holds a License No. MC60898691 (Washington).

The current practice location address for Cecelia Miller Cansino is 4804 Lacey Blvd Se, Lacey, WA and can be reached out via phone at 360-799-5782.

Location: 4804 Lacey Blvd Se, Lacey, WA, 98503-5733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750859419
Provider Name
Cecelia Miller Cansino
Credential
Provider Entity Type
Individual
Gender
Female
Address
4804 Lacey Blvd Se, Lacey, WA, 98503-5733
Phone Number
360-799-5782
Fax Number
Provider Enumeration Date
11/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4804 Lacey Blvd Se
City
Lacey
State
Washington
Zip
98503-5733
Phone Number
360-799-5782
Fax Number
person
Provider Business Mailing Address Details
Address
4804 Lacey Blvd Se
City
Lacey
State
Washington
Zip
98503-5733
Phone Number
360-799-5782
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MC60898691 (Washington)
Definition
Definition to come...
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