Individual
BARBARA LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 W HOUGHTON ST, TUSCOLA, IL 61953-1660
(217) 253-4731
Mailing address
114 W HOUGHTON ST, TUSCOLA, IL 61953-1660
(217) 253-4731
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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