Individual
JACQUELINE P LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
125 DONS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
(501) 620-5109
Mailing address
125 DONS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
(501) 620-5109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P0607041
AR
101YP2500X
Professional Counselor
Primary
P0607041
AR
Other
Enumeration date
02/05/2007
Last updated
04/06/2016
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