Individual
LACEY XEPOLEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4155 BLACKHAWK PLAZA CIR STE 101, DANVILLE, CA 94506-4829
(925) 984-2326
Mailing address
1170 BRIONES RD, MARTINEZ, CA 94553-9766
(925) 392-4003
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/16/2016
Last updated
08/12/2024
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