Individual
JASMYNE LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16233 COPPER MOUNTAIN CIR, EAGLE RIVER, AK 99577-7704
(907) 406-5226
Mailing address
16233 COPPER MOUNTAIN CIR, EAGLE RIVER, AK 99577-7704
(907) 406-5226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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