Healthcare Provider Details

I. General information

NPI: 1386037877
Provider Name (Legal Business Name): BETTY L LACINE LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETTY BARNAS

II. Dates (important events)

Enumeration Date: 03/09/2015
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 1ST AVE SW STE 300W
ROCHESTER MN
55902-3389
US

IV. Provider business mailing address

5439 ABBEY LN SE
ROCHESTER MN
55904-8114
US

V. Phone/Fax

Practice location:
  • Phone: 507-250-6234
  • Fax: 507-322-6262
Mailing address:
  • Phone: 507-250-6234
  • Fax: 507-322-6262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCC00933
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: