Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Robert Glenn Lack III, MA, CDP

Individual provider Counselor · NPI 1386877389

Mr. Robert Glenn Lack III, MA, CDP is a Counselor in Kennewick, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1010 E Bruneau Ave
Kennewick, WA 99336-3775
Phone: (509) 735-7410
Fax: (509) 783-5953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CP-00001417 (WA)
Counselor Taxonomy 101Y00000X · Licence RC-00018500 (WA)

Record details

NPI number1386877389
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CDP
Sole proprietorYes
NPI enumeratedAugust 25, 2009
Last updated in NPPESAugust 25, 2009

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