Individual
LUCY LAUREL WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS; LPC
Contact information
Practice address
777 NE 7TH ST STE 213, GRANTS PASS, OR 97526-1632
(541) 204-1545
Mailing address
777 NE 7TH ST STE 213, GRANTS PASS, OR 97526-1632
(541) 204-1545
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7890
OR
Other
Enumeration date
07/09/2021
Last updated
03/03/2024
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