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Lacey Allen, RASAC I Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Kennett, MO

NPI
1497900120
Type
Individual (Type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YA0400X
Sex
Male
Sole proprietor
No
Enumerated
2008-11-21
Last updated
2008-11-21
Practice location
103 S Main St, Suite C
Kennett, MO 63857-3039
(573) 888-1844

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Lacey Allen, RASAC I — NPI 1497900120