Individual provider · Type 1 NPI

Lacy Dattala, LPC

Counselor · Tulsa, OK

NPI number 1063817286 Active

Practice location

2512 E 71st St Ste H
Tulsa, OK 74136-5575

Call (918) 510-2170 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC06561 (OK)
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1063817286

Lacy Dattala, LPC's National Provider Identifier is 1063817286, issued on Oct 30, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tulsa, OK. The record was last updated on Nov 8, 2023.