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Mrs. Abigail Susan Lacey, MA
Professional Counselor in Georgetown, Texas
NPI 1033794490

Abigail Susan Lacey is a Professional Counselor based in Killeen, TX and is specialized in Professional. Abigail Susan Lacey practices in Georgetown, TX and has the professional credentials of MA. The NPI Number for Abigail Susan Lacey is 1033794490 and holds a License No. IMH20788 (Texas).

The current practice location address for Abigail Susan Lacey is 3613 Williams Dr Ste 302, Georgetown, TX and can be reached out via phone at 512-713-9886.

Location: 3613 Williams Dr Ste 302, Georgetown, TX, 76542-3787
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033794490
Provider Name
Abigail Susan Lacey
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
3613 Williams Dr Ste 302, Georgetown, TX, 76542-3787
Phone Number
512-713-9886
Fax Number
Provider Enumeration Date
03/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3613 Williams Dr Ste 302
City
Georgetown
State
Texas
Zip
78628-1369
Phone Number
512-713-9886
Fax Number
person
Provider Business Mailing Address Details
Address
3613 Williams Dr Ste 302
City
Georgetown
State
Texas
Zip
78628-1369
Phone Number
512-713-9886
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
91552 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
IMH20788 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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