Individual provider · Type 1 NPI
Wilfred Lacey
Professional Counselor · Meansville, GA
NPI number
1295270957
Active
Practice location
2821 US Hwy 19, Box 440
Meansville, GA 30256-2243
Fax (770) 567-3359
Mailing address
PO Box 35
Williamson, GA 30292-0035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC002574 (GA) |
Professional Counselor: Definition to come...
Another provider at this address
About NPI 1295270957
Wilfred Lacey's National Provider Identifier is 1295270957, issued on Jan 4, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Meansville, GA. The record was last updated on Jan 4, 2017.