Individual provider · Type 1 NPI

Rebecca Suzanne Lacy

Mental Health Counselor · Portland, OR

NPI number 1073079083 Active

Practice location

2409 SE 139th Ave
Portland, OR 97233-2041

Call (503) 786-3830 Map

Fax (503) 653-3534

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073079083

Rebecca Suzanne Lacy's National Provider Identifier is 1073079083, issued on Feb 14, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 14, 2019.