person
Kanzis Malon Lackey
Addiction (Substance Use Disorder) Counselor in Taylorsville, North Carolina
NPI 1043960859

Kanzis Malon Lackey is an Addiction (Substance Use Disorder) Counselor based in Statesville, NC and is specialized in Addiction (Substance Use Disorder). Kanzis Malon Lackey practices in Taylorsville, NC. The NPI Number for Kanzis Malon Lackey is 1043960859 and holds a License No. (North Carolina).

The current practice location address for Kanzis Malon Lackey is 31 E Main Ave, Taylorsville, NC and can be reached out via phone at 704-872-0123. You can also correspond with Kanzis Malon Lackey through the mailing address at 163 SADDLEWOOD LN, STATESVILLE, NC - 28625-5522 (mailing address contact number: 704-450-1006).

Location: 31 E Main Ave, Taylorsville, NC, 28625-5522
person
Provider Profile Details
NPI Number
1043960859
Provider Name
Kanzis Malon Lackey
Credential
Provider Entity Type
Individual
Gender
Female
Address
31 E Main Ave, Taylorsville, NC, 28625-5522
Phone Number
704-872-0123
Fax Number
Provider Enumeration Date
03/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
31 E Main Ave
City
State
Zip
28681-2540
Phone Number
704-872-0123
Fax Number
person
Provider Business Mailing Address Details
Address
31 E Main Ave
City
State
Zip
28681-2540
Phone Number
704-872-0123
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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