CHANNING RENEE LACKEY

POMONA, CA
NPI1104384635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-03-04
Last Update Date2020-02-24
Business Address
CHANNING RENEE LACKEY
845 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-624-1233
Mailing Address
CHANNING RENEE LACKEY
13267 ROSWELL AVE
CHINO, CA 91710-4771
Phone number: 909-680-8019
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