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Individual

LACEY WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
33 N CENTRAL AVE STE 213, MEDFORD, OR 97501-5939
(541) 690-8756
Mailing address
33 N CENTRAL AVE STE 213, MEDFORD, OR 97501-5939
(541) 690-8756

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5493
OR

Other

Enumeration date
03/23/2012
Last updated
07/13/2026
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