Individual provider · Type 1 NPI
Shacola Lacy, SUDCC #11319
Addiction (Substance Use Disorder) Counselor · Fresno, CA
NPI number
1023554896
Active
Practice location
1925 E Dakota Ave
Fresno, CA 93726-4821
Fax (559) 600-6090
Other practice locations
- 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 · (559) 600-9180
- 4452 E Kings Canyon Rd, Fresno, CA 93702-3605 · (559) 600-6068
- 2719 N Air Fresno Dr, Fresno, CA 93727-1547 · (559) 600-8918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1023554896
Shacola Lacy, SUDCC #11319's National Provider Identifier is 1023554896, issued on Jan 17, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Aug 20, 2026.