Individual provider · Type 1 NPI

Lacey Bolduc, MSW

Mental Health Counselor · Salem, OR

NPI number 1396579124 Active

Practice location

565 Union St NE Ste 100
Salem, OR 97301-2416

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1396579124

Lacey Bolduc, MSW's National Provider Identifier is 1396579124, issued on Aug 26, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Aug 22, 2025.