Individual
SCOTT LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
77 CALLE PORTAL STE C240, SIERRA VISTA, AZ 85635-2986
(520) 515-8669
(520) 515-8688
Mailing address
1205 N F AVE, DOUGLAS, AZ 85607-1920
(520) 364-1429
(520) 515-8690
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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