Individual
LESLEY LACNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
450 5TH ST UNIT E, LAKE OSWEGO, OR 97034-3059
(503) 805-9995
Mailing address
450 5TH ST UNIT E, LAKE OSWEGO, OR 97034-3059
(503) 805-9995
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5355
OR
Other
Enumeration date
03/05/2020
Last updated
07/29/2022
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