Individual provider · Type 1 NPI
Antonio D. Lacey, LPC
Professional Counselor · Lithia Springs, GA
NPI number
1093057382
Active
Practice location
1324 Crestmark Blvd
Lithia Springs, GA 30122-4428
Fax (404) 591-6748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1093057382
Antonio D. Lacey, LPC's National Provider Identifier is 1093057382, issued on Mar 25, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lithia Springs, GA. The record was last updated on Mar 25, 2013.