Individual
ROBERT LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
400 10TH ST NW APT 326, CHARLOTTESVILLE, VA 22903-2264
(434) 989-9307
Mailing address
400 10TH ST NW APT 326, CHARLOTTESVILLE, VA 22903-2264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
013880
NY
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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