Antonio D Lacey, LPC

NPI #1093057382 in Lithia Springs, Georgia

Provider Information

NPI Number: 1093057382
Entity Type: Individual
Name: Antonio D Lacey, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Mar 25, 2013
Last Updated: Mar 25, 2013

Practice Location

Address: 1324 CRESTMARK BLVD
City: Lithia Springs
State: Georgia
ZIP Code: 30122-4428
Phone: (770) 728-3468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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