Individual
KRISTIN CAROL LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
1015 2ND ST NE, HICKORY, NC 28601-3887
(828) 409-6743
Mailing address
43 18TH AVENUE DR NW, HICKORY, NC 28601-1826
(204) 451-5291
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12175A
NC
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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