| Lacy Daniel, LPC | |
|
508 Upland St, Kenai, AK 99611-8026 | |
| (907) 335-7300 | |
| Not Available |
| Full Name | Lacy Daniel |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 508 Upland St, Kenai, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780193599 | NPI | - | NPPES |
| 1740493 | Medicaid | AK | |
| 1780193599 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 187865 (Alaska) | Primary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| Entity Name | Kenaitze Indian Tribe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932114600 PECOS PAC ID: 4082506225 Enrollment ID: O20040325000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacy Daniel, LPC Po Box 84101, Seattle, WA 98124-5401 Ph: (907) 335-7300 | Lacy Daniel, LPC 508 Upland St, Kenai, AK 99611-8026 Ph: (907) 335-7300 |
Emily Anne Haakenson Remmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 Marine Ave, Kenai, AK 99611 Phone: 907-398-0528 |
Rylee Magana, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Upland St, Kenai, AK 99611 Phone: 907-335-7500 |
Tanya Almaraz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Upland St, Kenai, AK 99611 Phone: 907-335-7500 |
Cayla Salyers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Upland St, Kenai, AK 99611 Phone: 907-335-7300 |
Skyler Shay Diehl, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Upland St, Kenai, AK 99611 Phone: 907-335-7500 |
Jocelyn Lorraine Birch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Upland St, Kenai, AK 99611 Phone: 907-335-7500 |
Jessica Robblee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Upland St, Kenai, AK 99611 Phone: 907-335-7500 |