Lacy Hicks, LPC

NPI #1770029357 in Pooler, Georgia

Provider Information

NPI Number: 1770029357
Entity Type: Individual
Name: Lacy Hicks, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Jan 6, 2017
Last Updated: Jan 6, 2017

Practice Location

Address: 129 KELLY ST
City: Pooler
State: Georgia
ZIP Code: 31322-2611
Phone: (912) 659-5866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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