Lacy Lea Premo
Lacy Lea Premo is a Mental Health Counselor in Gold Beach, Oregon. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
29845 Airport WayGold Beach, OR 97444
Phone: (541) 708-9582
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1023749736 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 22, 2022 |
| Last updated in NPPES | June 17, 2025 |
| Certification date | May 8, 2025 |
| Mailing address | 29845 Airport Way, Gold Beach, OR 97444 |
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