person
Lacy Renee Banuelos
Mental Health Counselor in Grants Pass, Oregon
NPI 1760072086

Lacy Renee Banuelos is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Lacy Renee Banuelos practices in Grants Pass, OR. The NPI Number for Lacy Renee Banuelos is 1760072086 and holds a License No. (Oregon).

The current practice location address for Lacy Renee Banuelos is 1545 Harbeck Rd, Grants Pass, OR and can be reached out via phone at 541-476-2373.

Location: 1545 Harbeck Rd, Grants Pass, OR, 97526-2544
person
Provider Profile Details
NPI Number
1760072086
Provider Name
Lacy Renee Banuelos
Credential
Provider Entity Type
Individual
Gender
Female
Address
1545 Harbeck Rd, Grants Pass, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
Provider Enumeration Date
01/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1545 Harbeck Rd
City
State
Zip
97527-5605
Phone Number
541-476-2373
Fax Number
person
Provider Business Mailing Address Details
Address
1545 Harbeck Rd
City
State
Zip
97527-5605
Phone Number
541-476-2373
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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