Lacey Larson
Lacey Larson is an Addiction (Substance Use Disorder) Counselor in Provo, Utah. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
1726 Buckley LnProvo, UT 84606-5031
Phone: (801) 373-6562
Fax: (801) 375-9225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1487036729 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 23, 2015 |
| Last updated in NPPES | June 23, 2015 |
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