LACY LOUANE GROVENSTEIN NPI 1699188755

NPI Information

Lacy Louane Grovenstein is a counselor in Bethel, AK. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Lacy Louane Grovenstein NPI is 1699188755. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5106 NOEL POLTY BLVD
BETHEL, AK
ZIP 99559-029
Phone: (907) 543-6800
Fax: (907) 543-7101

The enumeration date for this NPI number is 6/6/2014 and was last updated on 6/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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