Individual
MR. LACY HORNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA.,LPC.,CAAC
Contact information
Practice address
26184 OUTER DR, LINCOLN PARK, MI 48146-2084
(313) 389-7574
(313) 389-7515
Mailing address
26184 OUTER DR, LINCOLN PARK, MI 48146-2084
(313) 389-7574
(313) 389-7515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401005512
MI
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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