Individual
DESIREE MORRELL LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., C.A.S., LPC-A
Contact information
Practice address
175 W FRANKLIN BLVD, GASTONIA, NC 28052-4145
(704) 865-3525
Mailing address
3149 HARMON RD, LINCOLNTON, NC 28092-1775
(315) 430-3870
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A8306
NC
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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