person
Mrs. Lacey Jo Wallace, MS,PLPC
Mental Health Counselor in Springfield, Missouri
NPI 1710461868

Lacey Jo Wallace is a Mental Health Counselor based in Springfield, MO and is specialized in Mental Health. Lacey Jo Wallace practices in Springfield, MO and has the professional credentials of MS,PLPC. The NPI Number for Lacey Jo Wallace is 1710461868 and holds a License No. 2017030034 (Missouri).

The current practice location address for Lacey Jo Wallace is 2131 S Eastgate Ave, Springfield, MO and can be reached out via phone at 417-763-3309.

Location: 2131 S Eastgate Ave, Springfield, MO, 65809-2146
person
Provider Profile Details
NPI Number
1710461868
Provider Name
Lacey Jo Wallace
Credential
MS,PLPC
Provider Entity Type
Individual
Gender
Female
Address
2131 S Eastgate Ave, Springfield, MO, 65809-2146
Phone Number
417-763-3309
Fax Number
Provider Enumeration Date
09/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2131 S Eastgate Ave
City
State
Zip
65809-2146
Phone Number
417-763-3309
Fax Number
person
Provider Business Mailing Address Details
Address
2131 S Eastgate Ave
City
State
Zip
65809-2146
Phone Number
417-763-3309
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2017030034 (Missouri)
Definition
Definition to come...
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