Jessica Lacy
Counselor, Mental Health in Honolulu, HI. Individual provider (NPI-1).
NPI number1063664522
StatusActive
Last updated in NPPESOct 15, 2008
Details
- NPI
- 1063664522
- Entity type
- Individual (NPI-1)
- Name
- Jessica Lacy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2008
- Last updated
- Oct 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1301 Punchbowl StHonolulu, HI 96813-2402
Phone 808-547-4221 · Fax 808-537-7896
Mailing address
1301 Punchbowl StHonolulu, HI 96813-2402
Phone 808-547-4221 · Fax 808-537-7896
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