LACEY WISE

LINCOLN, CA
NPI1750831806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A057120520)
Enumeration Date2016-10-12
Last Update Date2020-06-30
Business Address
LACEY WISE CADC-II
1530 3RD ST STE 111
LINCOLN, CA 95648-2501
Phone number: 916-884-0015
Mailing Address
LACEY WISE CADC-II
1530 3RD ST STE 111
LINCOLN, CA 95648-2501
Phone number: 916-884-0015
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