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Lacey Marie Mortensen
Mental Health Counselor in Mccleary, Washington
NPI 1780209452

Lacey Marie Mortensen is a Mental Health Counselor based in Tumwater, WA and is specialized in Mental Health. Lacey Marie Mortensen practices in Mccleary, WA. The NPI Number for Lacey Marie Mortensen is 1780209452 and holds a License No. CG61077167 (Washington).

The current practice location address for Lacey Marie Mortensen is 322 S Birch St, Mccleary, WA and can be reached out via phone at 360-205-4750.

Location: 322 S Birch St, Mccleary, WA, 98512-6862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780209452
Provider Name
Lacey Marie Mortensen
Credential
Provider Entity Type
Individual
Gender
Female
Address
322 S Birch St, Mccleary, WA, 98512-6862
Phone Number
360-205-4750
Fax Number
Provider Enumeration Date
06/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
322 S Birch St
City
Mccleary
State
Washington
Zip
98557-9522
Phone Number
360-205-4750
Fax Number
person
Provider Business Mailing Address Details
Address
322 S Birch St
City
Mccleary
State
Washington
Zip
98557-9522
Phone Number
360-205-4750
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CG61077167 (Washington)
Definition
Definition to come...
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