Individual
MS. LACY MAE MENZIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS MFT LADC, LADC-S
Contact information
Practice address
151 INDUSTRIAL WAY, FALLON, NV 89406-3116
(177) 666-5126
(775) 294-6015
Mailing address
151 INDUSTRIAL WAY, FALLON, NV 89406-3116
(775) 666-5126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
06600-L
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
07200-S
NV
106H00000X
Marriage & Family Therapist
Primary
4451
NV
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/11/2014
Last updated
01/05/2024
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