VIRGINIA LACEK

PRESCOTT VALLEY, AZ
NPI1558743633
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC0794)
Enumeration Date2015-06-24
Last Update Date2015-06-24
Business Address
-- VIRGINIA LACEK LISAC
3343 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314-1213
Phone number: 928-445-5211
Mailing Address
-- VIRGINIA LACEK LISAC
3343 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314-1213
Phone number: 928-445-5211
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