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Channing Renee Lackey
Addiction (Substance Use Disorder) Counselor in Pomona, California
NPI 1104384635

Channing Renee Lackey is an Addiction (Substance Use Disorder) Counselor based in Chino, CA and is specialized in Addiction (Substance Use Disorder). Channing Renee Lackey practices in Pomona, CA. The NPI Number for Channing Renee Lackey is 1104384635 and holds a License No. (California).

The current practice location address for Channing Renee Lackey is 845 E Arrow Hwy, Pomona, CA and can be reached out via phone at 909-624-1233.

Location: 845 E Arrow Hwy, Pomona, CA, 91710-4771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104384635
Provider Name
Channing Renee Lackey
Credential
Provider Entity Type
Individual
Gender
Female
Address
845 E Arrow Hwy, Pomona, CA, 91710-4771
Phone Number
909-624-1233
Fax Number
Provider Enumeration Date
03/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
845 E Arrow Hwy
City
Pomona
State
California
Zip
91767-2535
Phone Number
909-624-1233
Fax Number
person
Provider Business Mailing Address Details
Address
845 E Arrow Hwy
City
Pomona
State
California
Zip
91767-2535
Phone Number
909-624-1233
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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