Lacy Lea Premo
NPI #1023749736 in Gold Beach, Oregon
Provider Information
- NPI Number
- 1023749736
- Entity Type
- Individual
- Name
- Lacy Lea Premo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 22, 2022
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 29845 AIRPORT WAY
- City
- Gold Beach
- State
- Oregon
- ZIP Code
- 97444
- Phone
- (541) 708-9582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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