Lacey Bagley, LMFT Valid NPI

Individual provider · Marriage & Family Therapist · Provo, UT

NPI

1174195697

Type

Individual (Type 1)

Primary specialty

Marriage & Family Therapist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

106H00000X

License number

109718443902 (UT)

Sex

Female

Sole proprietor

Yes

Enumerated

2021-07-14

Last updated

2021-07-14