| Jaylon Lacy, | |
|
16233 Copper Mountain Cir, Eagle River, AK 99577-7704 | |
| (907) 891-6923 | |
| Not Available |
| Full Name | Jaylon Lacy |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 16233 Copper Mountain Cir, Eagle River, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316661606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jaylon Lacy, 16233 Copper Mountain Cir, Eagle River, AK 99577-7704 Ph: (907) 891-6923 | Jaylon Lacy, 16233 Copper Mountain Cir, Eagle River, AK 99577-7704 Ph: (907) 891-6923 |
Ashley Klinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8012 Stewart Mountain Dr, Eagle River, AK 99577 Phone: 907-694-3336 | |
Austin Didrickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8012 Stewart Mountain Dr, Eagle River, AK 99577 Phone: 907-694-3336 | |
Mr. Sammie O'neal Iii, MA, CDC1 Counselor Medicare: Medicare Enrolled Practice Location: 12518 Crested Butte Dr, Eagle River, AK 99577 Phone: 907-406-3033 | |
Gina Thara Wall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17601 James Way, Eagle River, AK 99577 Phone: 907-854-2344 | |
Robin Forman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8012 Stewart Mountain Dr, Eagle River, AK 99577 Phone: 907-694-3336 | |
Kristin Stadsklev, CDC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 8012 Stewart Mountain Dr, Eagle River, AK 99577 Phone: 907-694-3336 | |
Adam Abdallah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8012 Stewart Mountain Dr, Eagle River, AK 99577 Phone: 907-694-8840 |