Individual
MRS. LACEY J KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9247 OLD HERMITAGE PKWY, BATON ROUGE, LA 70810-6812
(225) 505-7305
Mailing address
PO BOX 83302, BATON ROUGE, LA 70884-3302
(225) 505-7305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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