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Individual

DR. LACEY SPEIGHT ALFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., LPC, NCC

Contact information

Practice address
3595 REVERE RD SW, ATLANTA, GA 30331-2340
(404) 344-5946
(404) 344-9920
Mailing address
3595 REVERE RD SW, ATLANTA, GA 30331-2340
(404) 344-5946
(404) 344-9920

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC000245
GA
101YS0200X
School Counselor
Primary
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
YXK3E18V
BLUE CROSS & BLUE SHIELD
GA
Enumeration date
09/26/2006
Last updated
09/11/2025
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