Lacy, Kimberly Ann

Lacy, Kimberly Ann is an individual health care provider with primary practice located at 2275 Arlington Dr , San Leandro CA 94578-1132. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Lacy, Kimberly Ann can be contacted via phone (510) 317-1444.

Contact Information

Primary practice address
2275 Arlington Dr San Leandro CA 94578-1132
Phone: (510) 317-1444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 9665 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 123204 California

Profile Details

NPI number 1306220157
LBN Legal business name Lacy, Kimberly Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2015
Last updated Jun 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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