Individual
LACEY RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
152 WIDGEON DR, LEXINGTON, SC 29072-7814
(803) 260-4622
Mailing address
152 WIDGEON DR, LEXINGTON, SC 29072-7814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7472
SC
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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