Ethan Kent Lacey

NPI #1881302479 in New Brighton, Minnesota

Provider Information

NPI Number
1881302479
Entity Type
Individual
Name
Ethan Kent Lacey
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Enumeration Date
Nov 11, 2022
Last Updated
Sep 9, 2025

Practice Location

Address
900 LONG LAKE RD STE 320
ZIP Code
55112-6439
Phone
(651) 482-9361

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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