LACEY JOSEPHSEN

VANCOUVER, WA
NPI1811448681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60472102)
Enumeration Date2016-10-17
Last Update Date2016-10-17
Business Address
-- LACEY JOSEPHSEN CDPT
2924 FALK RD
VANCOUVER, WA 98661-5604
Phone number: 360-750-9588
Mailing Address
-- LACEY JOSEPHSEN CDPT
2924 FALK RD
VANCOUVER, WA 98661-5604
Phone number: 360-750-9588