Individual provider · Type 1 NPI

Misty Lynn Lacy

Professional Counselor · The Dalles, OR

NPI number 1487161774 Active

Practice location

419 E 7th St Ste 207
The Dalles, OR 97058-2676

Call (541) 296-5452 Map

Fax (541) 296-1537

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC8485 (OR)
Mental Health Counselor 101YM0800XNone listed

Professional Counselor: Definition to come...

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About NPI 1487161774

Misty Lynn Lacy's National Provider Identifier is 1487161774, issued on Jan 8, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in The Dalles, OR. The record was last updated on Jun 9, 2026.