Individual
ERIC A LACKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1234 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
(541) 342-1639
Mailing address
1258 HIGH ST, EUGENE, OR 97401-3238
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0785
OR
Other
Enumeration date
10/12/2006
Last updated
10/04/2024
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