Individual
AMBER LYNN LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
15898 SAINT CLAIR AVE STE 1, EAST LIVERPOOL, OH 43920-9122
(330) 932-0157
(330) 932-0869
Mailing address
13129 BETHESDA RD, HANOVERTON, OH 44423-9753
(330) 341-2145
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA164344
OH
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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