Individual
MS. LACEY DEANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6576 AIRPORT BLVD, SUITE C200, MOBILE, AL 36608
(251) 459-0200
(251) 625-6428
Mailing address
6576 AIRPORT BLVD, SUITE C200, MOBILE, AL 36608
(251) 459-0200
(251) 625-6428
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2742
AL
Other
Enumeration date
10/09/2009
Last updated
03/17/2023
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