Jerry William Lacy
Jerry William Lacy is a Mental Health Counselor in Coos Bay, Oregon. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1885 Thompson RdCoos Bay, OR 97420-2152
Phone: (541) 266-8480
Fax: (541) 266-8479
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1841826310 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 17, 2020 |
| Last updated in NPPES | March 17, 2020 |
| Certification date | March 17, 2020 |
| Mailing address | 3587 Heathrow Way, Medford, OR 97504-4004 |
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Bambi King
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Sarah Linley Kleveland
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