Individual provider · Type 1 NPI

Dale Ray Lacy Jr., MENTAL HEALTH WORKER

Rehabilitation Practitioner · Fresno, CA

NPI number 1245360585 Active

Practice location

3147 N Millbrook Ave
Fresno, CA 93703-1425

Call (559) 453-3860 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1245360585

Dale Ray Lacy Jr., MENTAL HEALTH WORKER's National Provider Identifier is 1245360585, issued on Mar 6, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Fresno, CA. The record was last updated on Jul 8, 2007.