Individual provider · Type 1 NPI
Laurie Lack, LPCC
Professional Counselor · Cincinnati, OH
NPI number
1114165636
Active
Practice location
3333 Burnet Avenue, Ml 6015
Cincinnati, OH 45229-3039
Fax (513) 636-0810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | E.0007901 (OH) |
Professional Counselor: Definition to come...
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About NPI 1114165636
Laurie Lack, LPCC's National Provider Identifier is 1114165636, issued on Jan 22, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cincinnati, OH. The record was last updated on Jan 22, 2009.