Kristen R Lacaze
Counselor, Addiction (Substance Use Disorder) in Washington Township, OH. Individual provider (NPI-1).
NPI number1942899331
StatusActive
Last updated in NPPESApr 15, 2024
Details
- NPI
- 1942899331
- Entity type
- Individual (NPI-1)
- Name
- Kristen R Lacaze
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2021
- Certification date
- Apr 15, 2024
- Last updated
- Apr 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LCDCIII.162655 | OH | Yes |
| 175T00000X | Peer Specialist | APS.000959 | OH |
Practice location
268 Cherry DrWashington Township, OH 45459-4553
Phone 937-301-7818
Mailing address
268 Cherry DrWashington Township, OH 45459-4553
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