Individual provider · Type 1 NPI

Lacey Van Den Ham

Mental Health Counselor · Marina, CA

NPI number 1912495227 Active

Practice location

617 Bayonet Cir
Marina, CA 93933-4600

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1912495227

Lacey Van Den Ham's National Provider Identifier is 1912495227, issued on Apr 23, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marina, CA. The record was last updated on Apr 23, 2018.