Individual
LACEY L. SAWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADCIII, LADC
Contact information
Practice address
2330 NE DIVISION ST STE 9B, BEND, OR 97703-3530
(541) 233-8012
(541) 323-5834
Mailing address
2330 NE DIVISION ST STE 9B, BEND, OR 97703-3530
(415) 233-8012
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19-R-12
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC6852
ME
1041C0700X
Clinical Social Worker
Primary
L8082
OR
1041C0700X
Clinical Social Worker
LC15259
ME
Other
Enumeration date
04/20/2012
Last updated
05/08/2019
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