Individual
ALYSON LACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
791 8TH ST STE S, ARCATA, CA 95521-6234
(707) 502-6564
Mailing address
791 8TH ST STE S, ARCATA, CA 95521-6234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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