Individual
LACY OVERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2803 CREEK DR STE D, JONESBORO, AR 72401-5377
(870) 340-2636
Mailing address
505 OLD CANYON RD, JONESBORO, AR 72404-9406
(662) 321-0728
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
408
MS
101YP2500X
Professional Counselor
Primary
P2408023
AR
Other
Enumeration date
09/18/2012
Last updated
01/02/2025
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