| Doctor Name: | MR. CRAIG E LACY |
| NPI Number: | 1437340742 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, LPC |
| License Number: | PC001431 |
| Business Practice Address: | 1220 Valley Forge Road Bldg B Suite 2 Valley Forge, PA - 19480 |
| Business Phone Number: | 6108057720 |
| Business Fax Number: | 6109338019 |
| Mailing Address: | 1200 W Washington St, NORRISTOWN |
| State: | PA |
| Postal Code: | 194014313 |
| Phone Number: | 6108057720 |
| Fax Number: | 6102399085 |
| NPI Enumeration Date: | 08/05/2007 |
| NPI Last Update Date: | 08/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC001431 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |