SHANNON G LACKNER

SAINT PAUL, MN
NPI1356907026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  2993)
Enumeration Date2019-05-17
Last Update Date2023-02-20
Business Address
SHANNON G LACKNER
1554 MIDWAY PKWY APT 448
SAINT PAUL, MN 55108-2464
Phone number: 218-639-2150
Mailing Address
SHANNON G LACKNER
6381 OSGOOD AVE N BLDG C
STILLWATER, MN 55082-6118
Phone number: 651-560-5275