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Individual
MR. ROBERT J LACKIE
Active
Individual
MR. ROBERT J LACKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS MA ATR LPC MFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1881
KS
101YM0800X
Mental Health Counselor
—
MO
106H00000X
Marriage & Family Therapist
113957
KS
106H00000X
Marriage & Family Therapist
113957
MO
221700000X
Art Therapist
14871
KS
221700000X
Art Therapist
14871
MO
Other
Enumeration date
06/27/2006
Last updated
10/22/2009
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