Individual
SCOTT LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1807098
AR
101YP2500X
Professional Counselor
A1807098
AR
101YP2500X
Professional Counselor
Primary
LPC-23305
AZ
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/03/2017
Last updated
11/04/2024
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