person
Wanda Lacy
Professional Counselor in Jackson, Mississippi
NPI 1972930600

Wanda Lacy is a Professional Counselor based in Jackson, MS and is specialized in Professional. Wanda Lacy practices in Jackson, MS. The NPI Number for Wanda Lacy is 1972930600 and holds a License No. 1788 (Mississippi).

The current practice location address for Wanda Lacy is 3450 Highway 80 W, Jackson, MS and can be reached out via phone at 601-321-2497 and via fax at 601-321-2476.

Location: 3450 Highway 80 W, Jackson, MS, 39209-7201
person
Provider Profile Details
NPI Number
1972930600
Provider Name
Wanda Lacy
Credential
Provider Entity Type
Individual
Gender
Female
Address
3450 Highway 80 W, Jackson, MS, 39209-7201
Phone Number
601-321-2497
Fax Number
601-321-2476
Provider Enumeration Date
09/26/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018209 05 MS
institution
Provider Business Practice Location Address Details
Address
3450 Highway 80 W
City
State
Zip
39209-7201
Phone Number
601-321-2497
Fax Number
601-321-2476
person
Provider Business Mailing Address Details
Address
3450 Highway 80 W
City
State
Zip
39209-7201
Phone Number
601-321-2497
Fax Number
601-321-2476
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1788 (Mississippi)
Definition
Definition to come...
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