Lacey Allen, RASAC I
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Kennett, MO
NPI 1497900120 · NPPES record last updated Nov 21, 2008
Key facts
- NPI
- 1497900120
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 103 S Main St
Suite C
Kennett, MO 63857-3039 - Phone
- (573) 888-1844
- Fax
- (573) 888-6958
- NPI assigned
- Nov 21, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
103 S Main St
Suite C
Kennett, MO 63857-3039
Mailing address
103 S Main St
Suite C
Kennett, MO 63857-3039
Phone (573) 888-1844
Other providers in Kennett, MO
- Devon Abraham
- Kasey Jo Adair
- Fancilla Adams
- Deborah Jean Allen
- Patricia Ann Allen
- Phyllis Laverne Allen
- Stella Michelle Allen
- Tabitha Allen
- Autumn Lynnette Allgood
All providers in Kennett, MO · Addiction (Substance Use Disorder) Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.