Individual provider · Type 1 NPI
Lacey D. Pegram-Olson, LADC
Addiction (Substance Use Disorder) Counselor · Rochester, MN
NPI number
1861083206
Active
Practice location
343 Woodlake Dr SE
Rochester, MN 55904-6242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 305948 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1861083206
Lacey D. Pegram-Olson, LADC's National Provider Identifier is 1861083206, issued on Jan 28, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rochester, MN. The record was last updated on Jan 28, 2021.