Lacey Van Den Ham

NPI #1912495227 in Marina, California

Provider Information

NPI Number: 1912495227
Entity Type: Individual
Name: Lacey Van Den Ham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 23, 2018
Last Updated: Apr 23, 2018

Practice Location

Address: 617 BAYONET CIR
City: Marina
State: California
ZIP Code: 93933-4600
Phone: (831) 384-7251

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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