Individual provider · Type 1 NPI
Lyndon Robert Kacick, LAC
Addiction (Substance Use Disorder) Counselor · Livingston, MT
NPI number
1275830010
Active
Practice location
517 S 10th St
Livingston, MT 59047-3710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1250 (MT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1275830010
Lyndon Robert Kacick, LAC's National Provider Identifier is 1275830010, issued on Feb 14, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Livingston, MT. The record was last updated on Feb 14, 2011.