Individual
LACY CALAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
220 CHURCH ST, JACKSON, CA 95642-2391
(209) 257-5627
Mailing address
217 REX AVE, JACKSON, CA 95642-2020
(209) 257-5627
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
101YS0200X
CA
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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