Individual
ALYSHA LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2507 CHRISTIE DRIVE, LAKE OSWEGO, OR 97034
(503) 635-3416
(503) 697-6932
Mailing address
PO BOX 368, MARYLHURST, OR 97036-0368
(503) 635-6416
(503) 697-6932
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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