Individual
KIMBERLY J LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
360 RIVERBOTTOM RD, RONDA, NC 28670-9300
(828) 850-5107
Mailing address
360 RIVERBOTTOM RD, RONDA, NC 28670-9300
(828) 850-5107
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4877
NCLPC
NC
Enumeration date
04/28/2008
Last updated
08/03/2022
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