Individual
COLLEEN MARIE LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(952) 826-8475
(763) 315-4669
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(952) 826-8475
(763) 315-4669
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2204
MN
Other
Enumeration date
09/01/2010
Last updated
11/13/2023
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