Individual
LACEY J WAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 343-2993
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 343-2993
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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