person
Ms. Lacy Anne Borengasser, LPCCANDIDATE
Mental Health Counselor in Tishomingo, Oklahoma
NPI 1417273483

Lacy Anne Borengasser is a Mental Health Counselor based in Tishomingo, OK and is specialized in Mental Health. Lacy Anne Borengasser practices in Tishomingo, OK and has the professional credentials of LPCCANDIDATE. The NPI Number for Lacy Anne Borengasser is 1417273483 and holds a License No. (Oklahoma).

The current practice location address for Lacy Anne Borengasser is 705 W Main, Tishomingo, OK and can be reached out via phone at 580-371-3799 and via fax at 580-371-2556.

Location: 705 W Main, Tishomingo, OK, 73460-1243
person
Provider Profile Details
NPI Number
1417273483
Provider Name
Lacy Anne Borengasser
Credential
LPCCANDIDATE
Provider Entity Type
Individual
Gender
Female
Address
705 W Main, Tishomingo, OK, 73460-1243
Phone Number
580-371-3799
Fax Number
580-371-2556
Provider Enumeration Date
04/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
705 W Main
City
State
Zip
73460
Phone Number
580-371-3799
Fax Number
580-371-2556
person
Provider Business Mailing Address Details
Address
705 W Main
City
State
Zip
73460
Phone Number
580-371-3799
Fax Number
580-371-2556
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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