Individual provider · Type 1 NPI

Lacey Marie Mortensen

Mental Health Counselor · Mccleary, WA

NPI number 1780209452 Active

Practice location

322 S Birch St
Mccleary, WA 98557-9522

Call (360) 205-4750 Map

Mailing address

801 Pioneer St SW
Tumwater, WA 98512-6862

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCG61077167 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1780209452

Lacey Marie Mortensen's National Provider Identifier is 1780209452, issued on Jun 9, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mccleary, WA. The record was last updated on Jun 9, 2020.