Individual
APRIL LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-6106
(541) 313-8697
Mailing address
3828 COLONY OAKS DR, EUGENE, OR 97405-1224
(541) 313-8697
(458) 215-3773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH61600505
WA
101YP2500X
Professional Counselor
Primary
8357
CA
101YP2500X
Professional Counselor
C6039
OR
Other
Enumeration date
01/04/2016
Last updated
03/06/2025
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