JIMMY LACEY

PASADENA, CA
NPI1508387473
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1242210117)
Enumeration Date2017-06-30
Last Update Date2022-07-21
Business Address
JIMMY LACEY
1230 N MARENGO AVE
PASADENA, CA 91103-2217
Phone number: 626-797-1124
Mailing Address
JIMMY LACEY
1230 N MARENGO AVE
PASADENA, CA 91103-2217
Phone number: 626-797-1124
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