John Lacy
John Lacy is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
17640 NE Halsey StPortland, OR 97230-6733
Phone: (503) 489-5045
Fax: (503) 489-5638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence PROFESSIONALLICENSE |
|---|
Record details
| NPI number | 1003431362 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 12, 2020 |
| Last updated in NPPES | June 5, 2024 |
| Certification date | April 24, 2021 |
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