Individual
LACEE OVERCASH JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
170 DAVIDSON HWY STE 201, CONCORD, NC 28027-4255
(704) 298-4206
Mailing address
1045 LAKE WRIGHT RD, CHINA GROVE, NC 28023-7812
(704) 202-4157
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A13687
NC
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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