Individual provider · Type 1 NPI
Lacy Louane Grovenstein
Counselor · Bethel, AK
NPI number
1699188755
Active
Practice location
5106 Noel Polty Blvd
Bethel, AK 99559-1029
Fax (907) 543-7101
Mailing address
PO Box 1029
Bethel, AK 99559-1029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1699188755
Lacy Louane Grovenstein's National Provider Identifier is 1699188755, issued on Jun 6, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bethel, AK. The record was last updated on Jun 6, 2014.