Individual
LAURIE LACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3333 BURNET AVENUE, ML 6015, CINCINNATI, OH 45229-3039
(513) 636-0800
(513) 636-0810
Mailing address
3333 BURNET AVENUE, ML 5021, CINCINNATI, OH 45229-3039
(513) 636-4255
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0007901
OH
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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