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Individual

BRANDON D LACKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APC

Contact information

Practice address
1804 6TH AVE N, BESSEMER, AL 35020-4851
(205) 428-8449
Mailing address
2120 MONTREAT LN APT D, VESTAVIA HILLS, AL 35216-4023
(205) 533-0760

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC05717
AL

Other

Enumeration date
09/06/2025
Last updated
09/06/2025
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