NPI | 1962719948 |
---|---|
Other Name | ROCHELLE LACKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61644865) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA B001910425) |
101YM0800X Counselor, Mental Health (Licence: WA CG61556263) | |
Enumeration Date | 2010-09-11 |
Last Update Date | 2025-08-19 |