Jaylon Lacy
NPI #1316661606 in Eagle River, Alaska
Provider Information
- NPI Number
- 1316661606
- Entity Type
- Individual
- Name
- Jaylon Lacy
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 29, 2022
- Last Updated
- Sep 29, 2022
Practice Location
- Address
- 16233 COPPER MOUNTAIN CIR
- City
- Eagle River
- State
- Alaska
- ZIP Code
- 99577-7704
- Phone
- (907) 891-6923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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