Mr. Lee Todd Lacks, LCPC-C, MT-BC
Mr. Lee Todd Lacks, LCPC-C, MT-BC is a Developmentally Disabled Services Day Training Agency in South Portland, Maine. Practices as a sole proprietor. Licensed in Maine.
- Licensed in
- ME
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
9 Lemont AveSouth Portland, ME 04106-5717
Phone: (207) 210-6045
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence XL3782 (ME) |
|---|---|
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X · Licence XL3782 (ME) |
Record details
| NPI number | 1285918383 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCPC-C , MT-BC |
| Sole proprietor | Yes |
| NPI enumerated | October 6, 2011 |
| Last updated in NPPES | October 6, 2011 |
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