Laroy Lackey
Laroy Lackey is a Mental Health Counselor in Fairview, Oregon. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
1945 NE 205th AveFairview, OR 97024-9622
Phone: (503) 661-8050
Fax: (503) 492-4651
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence PROFESSIONALLICENSE |
|---|
Record details
| NPI number | 1780982454 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 4, 2011 |
| Last updated in NPPES | November 1, 2023 |
| Certification date | June 14, 2022 |
| Mailing address | 3587 Heathrow Way, Medford, OR 97504-4004 |
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1945 NE 205th Ave, Fairview, OR 97024-9622 · (503) 661-8050