Individual
ERIN LYNNE LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1515 LIBERTY ST SE, SALEM, OR 97302
(503) 951-6280
Mailing address
410 MILL ST SE UNIT 703, SALEM, OR 97308-0817
(503) 910-8114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C3767
OR
Other
Enumeration date
08/03/2012
Last updated
05/05/2023
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