Lacy Deese LPC

NPI 1104150093 - Counselor - 101YP2500X

NPI Details
NPI 1104150093
Gender Female
Enumeration Date 09/24/2009
Last Updated 12/01/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
199 CHARMANT PL
SUITE 2
RIDGELAND MS, 39157-4358, US
Phone (601) 670-6444
Fax
Business Location
804 E LEAKE ST
CLINTON MS, 39056-4325, US
Phone (601) 670-6444
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Mississippi
License Number 1466
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According to our database, Mrs. Lacy Deese LPC NPI is 1104150093, taxonomy code is 101YP2500X and license number is 1466, license state is located at Mississippi. Lacy Deese LPC physically located at 199 Charmant Pl, Ridgeland MS, 39157-4358. NPI Number Lacy Deese LPC has the Individual type.

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1104150093 NPI number is provided on an as is basis without warranty of any kind. 1104150093 is maintained by the National Plan & Provider Enumeration System. The contents of Lacy Deese LPC are for informational purposes only.