Individual provider · Type 1 NPI

Madisyn Lacey, CDCA

Addiction (Substance Use Disorder) Counselor · Xenia, OH

NPI number 1245945104 Active

Practice location

996 N Monroe Ct
Xenia, OH 45385-1860

Mailing address

PO Box 212
Xenia, OH 45385-0212

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XCDCA.183269 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.183269 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1245945104

Madisyn Lacey, CDCA's National Provider Identifier is 1245945104, issued on Jan 16, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Xenia, OH. The record was last updated on Jan 16, 2023.