MS. Lacy Anne Borengasser, LPC CANDIDATE
NPI #1417273483 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1417273483
- Entity Type
- Individual
- Name
- MS. Lacy Anne Borengasser, LPC CANDIDATE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC CANDIDATE
- Enumeration Date
- Apr 15, 2010
- Last Updated
- Apr 15, 2010
Practice Location
- Address
- 705 W MAIN
- Address 2
- PENNINGTON CREEK LIFEHOUSE
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460
- Phone
- (580) 371-3799
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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