Most Relevant Information
Provider Data
| NPI Number: | 1003488032 |
| Provider Name: | LUCY LAUREL WAY MS; LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | C7890 |
Most Important Dates
| Enumeration Date: | 07/09/2021 |
| Last Updated: | 03/03/2024 |
Provider Practice Location
777 NE 7TH ST STE 213
GRANTS PASS
OR
975261632
Practice Location Phone/Fax
| Phone: | 5412041545 |
| Fax: |
Provider Mailing Location
777 NE 7TH ST STE 213
GRANTS PASS
OR
975261632
Provider Mailing Phone/Fax
| Phone: | 5412041545 |
| Fax: |