Individual
DR. CHARLAYNE LACKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 SEATON CIR, MONTGOMERY, AL 36116-7220
(337) 802-0801
Mailing address
1307 SEATON CIR, MONTGOMERY, AL 36116-7220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
51299
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
51299
—
101YM0800X
Mental Health Counselor
012590
GA
101YM0800X
Mental Health Counselor
87346
TX
101YP2500X
Professional Counselor
012590
GA
101YP2500X
Professional Counselor
2405
LA
101YP2500X
Professional Counselor
87346
TX
106H00000X
Marriage & Family Therapist
153
LA
106H00000X
Marriage & Family Therapist
Primary
L573
AL
Other
Enumeration date
09/20/2006
Last updated
03/08/2023
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