Individual
LESE LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
20440 N 27TH AVE, PHOENIX, AZ 85027-3240
(480) 882-4545
(480) 882-4545
Mailing address
24894 W DOVE RUN DR, BUCKEYE, AZ 85326-1721
(623) 633-1362
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-24571
AZ
101YP2500X
Professional Counselor
Primary
LPC-24571
AZ
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/13/2014
Last updated
04/06/2026
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