Individual provider · Type 1 NPI

Jimmy Lacey

Addiction (Substance Use Disorder) Counselor · Pasadena, CA

NPI number 1508387473 Active

Practice location

1230 N Marengo Ave
Pasadena, CA 91103-2217

Call (626) 797-1124 Map

Fax (626) 398-9674

Other practice locations

  • 225 Grandview St, Pasadena, CA 91104-2114 · (626) 797-1124

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1242210117 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1508387473

Jimmy Lacey's National Provider Identifier is 1508387473, issued on Jun 30, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pasadena, CA. The record was last updated on Jul 21, 2022.