Individual
CHRISTINA ROSE LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1561 HAWTHORNE LN, PRATTVILLE, AL 36066-7344
(334) 590-1580
(334) 590-1580
Mailing address
1561 HAWTHORNE LN, PRATTVILLE, AL 36066-7344
(334) 590-1580
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2854
AL
Other
Enumeration date
07/22/2010
Last updated
08/02/2011
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