Individual provider · Type 1 NPI

Martha Janet Lacy, QMHA

Mental Health Counselor · Clackamas, OR

NPI number 1053625970 Active

Practice location

12901 SE 97th Ave Ste 340
Clackamas, OR 97015-7903

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053625970

Martha Janet Lacy, QMHA's National Provider Identifier is 1053625970, issued on Aug 3, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clackamas, OR. The record was last updated on Jul 21, 2020.