Individual
MS. LACEY RENEE IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
149 ENTERPRISE DR, SOMERSET, KY 42501-6155
(606) 679-6995
Mailing address
149 ENTERPRISE DR, SOMERSET, KY 42501-6155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
283834
KY
Other
Enumeration date
01/12/2012
Last updated
03/20/2023
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