Individual provider · Type 1 NPI

Antonette Lashawn Lacey

Mental Health Counselor · San Leandro, CA

NPI number 1124670104 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1124670104

Antonette Lashawn Lacey's National Provider Identifier is 1124670104, issued on Jul 10, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Jul 10, 2019.