Lacey Bass
Lacey Bass is a Mental Health Counselor in Fort Wayne, Indiana. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2250 Lake Ave Ste 100Fort Wayne, IN 46805-5352
Phone: (260) 543-0009
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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 |
|---|
Record details
| NPI number | 1316705171 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 7, 2024 |
| Last updated in NPPES | March 7, 2024 |
| Certification date | March 7, 2024 |
| Mailing address | 2250 Lake Ave Ste 100, Fort Wayne, IN 46805-5352 |
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