Individual
RIKI MARIE JOHNSON-LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1513 19TH AVE S, GREAT FALLS, MT 59405-6028
(406) 231-1866
(406) 454-0860
Mailing address
1513 19TH AVE S, GREAT FALLS, MT 59405-6028
(406) 231-1866
(406) 454-0860
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
977 LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000740510
BLUE CROSS/SHIELD OF MONT
MT
Enumeration date
03/15/2006
Last updated
07/12/2010
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