Individual provider · Type 1 NPI

Mark Irwin Lackmann, LADAC I; CADC I

Addiction (Substance Use Disorder) Counselor · Memphis, TN

NPI number 1689449803 Active

Practice location

661 Madison Ave
Memphis, TN 38103-3307

Call (901) 267-4008 Map

Mailing address

3045 Leeridge Dr
Bartlett, TN 38134-3613

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XTN-006 (TN)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLDC0000001357 (TN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1689449803

Mark Irwin Lackmann, LADAC I; CADC I's National Provider Identifier is 1689449803, issued on Nov 17, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Memphis, TN. The record was last updated on Nov 17, 2023.