Individual
ANITA MICHELL LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
900 RAVINIA PL, ORLAND PARK, IL 60462-4604
(708) 422-2898
(815) 524-3566
Mailing address
7213 S ROBERTS RD, BRIDGEVIEW, IL 60455-1043
(773) 558-2780
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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