Individual
LYNETTE DENISE LACEY-GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC, NCC
Contact information
Practice address
18 COUNTY ROAD 220, OXFORD, MS 38655-5873
(662) 832-6470
Mailing address
PO BOX 2220, OXFORD, MS 38655-7220
(662) 832-6470
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1242
MS
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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