Lacey Reikowsky

NPI #1356770911 in Moore, Oklahoma

Provider Information

NPI Number: 1356770911
Entity Type: Individual
Name: Lacey Reikowsky
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Nov 4, 2013
Last Updated: Jun 25, 2015

Practice Location

Address: 620 SW 24TH ST
City: Moore
State: Oklahoma
ZIP Code: 73160-5515
Phone: (405) 401-5725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Professional — Professional	101YP2500X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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