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Individual

LACY DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
508 UPLAND ST, KENAI, AK 99611-8026
(907) 335-7300
Mailing address
PO BOX 84101, SEATTLE, WA 98124-5401
(907) 335-7300

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
187865
AK
172V00000X
Community Health Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740493
AK
05
1780193599
WA
Enumeration date
09/25/2017
Last updated
04/10/2026
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