Lacey Henneke
Lacey Henneke is a Counselor in Roseburg, Oregon. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
545 W Umpqua St Ste 1Roseburg, OR 97471-2979
Phone: (541) 957-5646
Fax: (541) 957-0191
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1972272557 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 8, 2021 |
| Last updated in NPPES | September 8, 2021 |
| Certification date | September 8, 2021 |
| Mailing address | 545 W Umpqua St Ste 1, Roseburg, OR 97471-2979 |
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