| Lacey Peters | |
|
5276 Hollister Ave Suite 105 Santa Barbara CA 93111-2073 | |
| (805) 451-7171 | |
| Not Available |
| Full Name | Lacey Peters |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5276 Hollister Ave, Santa Barbara, California |
| Authorized Official Name and Position | Lacey Johnson Peters (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 8054517171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Peters Po Box 22552 Santa Barbara CA 93121-2552 Ph: (805) 451-7171 | Lacey Peters 5276 Hollister Ave Suite 105 Santa Barbara CA 93111-2073 Ph: (805) 451-7171 |
| NPI Number | 1013374057 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 03/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013374057 | NPI | - | NPPES |
| LMFT77995 | Other | CA | BOARD OF BEHAVIORAL SCIENCES LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT77995 (California) | Primary |
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