NPI 1023512639
Michaela Ruby Lacio, MHRLPCC
Practice location
- Address
- 3100 Medical Pkwy, Claremore, OK 74017-1088
- Phone
- (918) 342-0770
- Mailing address
- 3743 S 213th East Ave, Broken Arrow, OK 74014-1231
Registered specialties (2)
Case Manager/Care Coordinator
Primary
Mental Health Counselor
Registry record
- NPI
- 1023512639
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Mar 2018
- Record last updated
- 18 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.