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Individual

DESTINY P LAKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED, LPC

Contact information

Practice address
200 SE EASTRIDGE ST # A, LEES SUMMIT, MO 64063-2757
(816) 679-2287
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5214

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022002631
MO

Other

Enumeration date
02/13/2017
Last updated
11/19/2024
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