Organization · Type 2 NPI

Lackey Group

Professional Counselor · Evanston, IL

NPI number 1962104372 Active

Practice location

1603 Orrington Ave Ste 600
Evanston, IL 60201-3860

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XNone listed
Counseling Psychologist 103TC1900XNone listed
Health & Wellness Coach 171400000XNone listed

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About NPI 1962104372

Lackey Group's National Provider Identifier is 1962104372, issued on Mar 20, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Evanston, IL. The record was last updated on Mar 20, 2023.