Individual provider · Type 1 NPI

Mary Grace Lacy

Mental Health Counselor · Watseka, IL

NPI number 1922727312 Active

Practice location

323 W Mulberry St
Watseka, IL 60970-1568

Call (815) 432-5241 Map

Mailing address

PO Box 322
Watseka, IL 60970-0322

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178005536 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1922727312

Mary Grace Lacy's National Provider Identifier is 1922727312, issued on Aug 26, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Watseka, IL. The record was last updated on Aug 26, 2022.