Individual
CATHY RENAE LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.,D.
Contact information
Practice address
2007 W 11TH AVE, STILLWATER, OK 74074-5115
(405) 999-3009
Mailing address
2007 W 11TH AVE, STILLWATER, OK 74074-5115
(405) 999-3009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
06595
OK
101Y00000X
Counselor
—
—
Other
Enumeration date
12/21/2011
Last updated
02/07/2025
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