Individual
JOSHUA LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1154 SUNNYSIDE DR, COLUMBIA, SC 29204-3387
(803) 223-7820
Mailing address
2900 MILLWOOD AVE, COLUMBIA, SC 29205-1359
(803) 223-7820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13271
SC
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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