Individual provider · Type 1 NPI

Wanda Lacy

Professional Counselor · Jackson, MS

NPI number 1972930600 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209-7201

Fax (601) 321-2476

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1788 (MS)

Professional Counselor: Definition to come...

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About NPI 1972930600

Wanda Lacy's National Provider Identifier is 1972930600, issued on Sep 26, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MS. The record was last updated on Sep 26, 2013.