Individual provider · Type 1 NPI

Lacey Bass

Mental Health Counselor · Fort Wayne, IN

NPI number 1316705171 Active

Practice location

2250 Lake Ave Ste 100
Fort Wayne, IN 46805-5352

Call (260) 543-0009 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1316705171

Lacey Bass's National Provider Identifier is 1316705171, issued on Mar 7, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 7, 2024.