CHANNING RENEE LACKEY

CORONA, CA
NPI1104384635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2019-03-04
Last Update Date2025-08-27
Business Address
CHANNING RENEE LACKEY
222 W 6TH ST
CORONA, CA 92882-3301
Phone number: 888-682-6282
Mailing Address
CHANNING RENEE LACKEY
13267 ROSWELL AVE
CHINO, CA 91710-4771
Phone number: 909-680-8019
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