Individual
MS. KRYSTAL RENEE LACOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
233 FULTON ST E STE 101, GRAND RAPIDS, MI 49503-3262
(616) 228-9244
Mailing address
233 FULTON ST E STE 101, GRAND RAPIDS, MI 49503-3262
(616) 228-9244
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101007301
MI
Other
Enumeration date
02/07/2023
Last updated
02/21/2023
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