Individual
MRS. LACEY JEAN GLUECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
705 E HIGHLAND DR STE E, WILLISTON, ND 58801-4494
(701) 770-9743
(701) 572-5410
Mailing address
705 E HIGHLAND DR STE E, WILLISTON, ND 58801-4494
(701) 770-9743
(701) 572-5410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1577
ND
Other
Enumeration date
03/22/2007
Last updated
07/01/2024
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