LACEY WISE

ROSEVILLE, CA
NPI1750831806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A057120520)
Enumeration Date2016-10-12
Last Update Date2026-10-20
Business Address
LACEY WISE CADC-II
1133 COLOMA WAY
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
Mailing Address
LACEY WISE CADC-II
1133 COLOMA WAY
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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