LACY JOHNSON-BATHURST

OCEANSIDE, CA
NPI1134675085
Former NameLACY KELLY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-08-31
Last Update Date2018-08-24
Business Address
LACY JOHNSON-BATHURST
1738 S TREMONT ST
OCEANSIDE, CA 92054
Phone number: 760-439-2800
Mailing Address
LACY JOHNSON-BATHURST
892 27TH ST
SAN DIEGO, CA 92154-1444
Phone number: