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Individual
SHAIREE LACKEY
Active
Individual
SHAIREE LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCPC, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TH0004X
Health Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2020
Last updated
01/19/2026
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