Organization
LACY M DEESE, LLC
Active
Other names
Adva
Organization subpart
No
Provider details
NPI number
Authorized official
LACY M DEESE LPC (LICENSED PROFESSIONAL COUNSELOR)
(601) 670-6444
Entity
Organization
Contact information
Practice address
1600 N STATE ST, SUITE 100, JACKSON, MS 39202-1689
(601) 670-6444
Mailing address
804 E LEAKE ST, CLINTON, MS 39056-4325
(601) 670-6444
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1466
MS
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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