Individual provider · Type 1 NPI
Kanzis Malon Lackey
Addiction (Substance Use Disorder) Counselor · Taylorsville, NC
NPI number
1043960859
Active
Practice location
31 E Main Ave
Taylorsville, NC 28681-2540
Mailing address
163 Saddlewood Ln
Statesville, NC 28625-5522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
Other addiction (substance use disorder) counselor providers in Taylorsville
About NPI 1043960859
Kanzis Malon Lackey's National Provider Identifier is 1043960859, issued on Mar 25, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Taylorsville, NC. The record was last updated on Mar 25, 2022.