Individual
MISTY LYNN LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 E 7TH ST STE 207, THE DALLES, OR 97058-2676
(541) 296-5452
(541) 296-1537
Mailing address
419 E 7TH ST STE 207, THE DALLES, OR 97058-2676
(541) 296-5452
(541) 296-1537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C8485
OR
Other
Enumeration date
01/08/2018
Last updated
06/09/2026
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