Individual
LEAH LACKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
44 RICE AVE, STATEN ISLAND, NY 10314-2510
(631) 241-4600
Mailing address
44 RICE AVE, STATEN ISLAND, NY 10314-2510
(631) 241-4600
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00495600
NJ
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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