Individual
MRS. LACY ANN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2800 CORNERSTONE DR STE 207, PAGOSA SPRINGS, CO 81147-8156
(970) 507-0861
Mailing address
PO BOX 1614, PAGOSA SPRINGS, CO 81147-1614
(970) 507-0861
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CO
Other
Enumeration date
10/06/2019
Last updated
10/06/2019
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