Martha Janet Lacy, QMHA

NPI #1053625970 in Clackamas, Oregon

Provider Information

NPI Number
1053625970
Entity Type
Individual
Name
Martha Janet Lacy, QMHA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
QMHA
Enumeration Date
Aug 3, 2010
Last Updated
Jul 21, 2020

Practice Location

Address
12901 SE 97TH AVE STE 340
State
Oregon
ZIP Code
97015-7903
Phone
(503) 434-7462

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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