# MR. ROBERT J LACKIE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134156961
- **Gender:** Man
- **Credential:** MS MA ATR LPC MFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 1881 | KS | Yes |
| 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