Individual provider · Type 1 NPI
Lacey Renae Corbett, MA, QMHP, LPC
Mental Health Counselor · Medford, OR
NPI number
1669983086
Active
Practice location
33 N Central Ave Ste 219C
Medford, OR 97501-5900
Mailing address
466 Williamson Way
Ashland, OR 97520-1251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C5649 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1669983086
Lacey Renae Corbett, MA, QMHP, LPC's National Provider Identifier is 1669983086, issued on Oct 12, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Feb 21, 2024.