Individual provider · Type 1 NPI
Jennie Lacy
Mental Health Counselor · San Diego, CA
NPI number
1457663148
Active
Practice location
140 Arbor Dr
San Diego, CA 92103-2007
Mailing address
324 W Washington St
San Diego, CA 92103-1969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1457663148
Jennie Lacy's National Provider Identifier is 1457663148, issued on Jul 9, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Jul 9, 2010.