Individual provider · Type 1 NPI

Audra K. Lacey, MFT

Marriage & Family Therapist · La Mesa, CA

NPI number 1215061254 Active

Practice location

5480 Baltimore Dr Ste 103
La Mesa, CA 91942-2068

Fax (619) 271-7356

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC38530 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1215061254

Audra K. Lacey, MFT's National Provider Identifier is 1215061254, issued on Mar 14, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in La Mesa, CA. The record was last updated on Jul 8, 2007.