Individual
JANELLE LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
439 CONGAREE RD, GREENVILLE, SC 29607-2867
(864) 729-2898
Mailing address
219 BRADLEY BLVD, GREENVILLE, SC 29609-5034
(864) 517-4029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7261
SC
Other
Enumeration date
09/11/2019
Last updated
09/20/2019
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