MICHAEL LACY

SACRAMENTO, CA
NPI1710357744
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-10-02
Last Update Date2015-10-02
Business Address
Mr. MICHAEL LACY
9182 COLONSAY WAY
SACRAMENTO, CA 95829-1513
Phone number: 916-715-6179
Mailing Address
Mr. MICHAEL LACY
9182 COLONSAY WAY
SACRAMENTO, CA 95829-1513
Phone number: 916-715-6179
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