Individual provider · Type 1 NPI

Lacey R. Spon, BS

Mental Health Counselor · Grants Pass, OR

NPI number 1457784035 Active

Practice location

210 Tacoma St
Grants Pass, OR 97527-5500

Call (541) 476-3302 Map

Mailing address

715 SW Ramsey Ave
Grants Pass, OR 97527-5500

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1457784035

Lacey R. Spon, BS's National Provider Identifier is 1457784035, issued on Aug 19, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Aug 19, 2013.