LAROY LACKEY

Counselor - Mental Health

Active Individual
NPI: 1780982454

Practice Address

1945 NE 205TH AVE
Fairview, OR 97024

Phone: (503) 661-8050

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes PROFESSIONALLICENSE ()

Frequently Asked Questions

NPI 1780982454 is the National Provider Identifier for LAROY LACKEY, a Counselor - Mental Health provider located in Fairview, OR. This NPI was enumerated on March 4, 2011.
LAROY LACKEY practices at 1945 NE 205TH AVE, Fairview, OR 97024.

Quick Facts

NPI
1780982454
Type
Individual
Enumerated
Mar 4, 2011
Last Updated
Nov 1, 2023

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