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Phyllis J Lackey, LICPROFCOUNSELOR
Counselor in Xenia, Ohio
NPI 1174682504

Phyllis J Lackey is a Counselor based in Vandalia, OH. Phyllis J Lackey practices in Xenia, OH and has the professional credentials of LICPROFCOUNSELOR. The NPI Number for Phyllis J Lackey is 1174682504 and holds a License No. C0003153 (Ohio).

The current practice location address for Phyllis J Lackey is 482 N Detroit St, Xenia, OH and can be reached out via phone at 937-374-6010 and via fax at 937-374-6014.

Location: 482 N Detroit St, Xenia, OH, 45377
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174682504
Provider Name
Phyllis J Lackey
Credential
LICPROFCOUNSELOR
Provider Entity Type
Individual
Gender
Female
Address
482 N Detroit St, Xenia, OH, 45377
Phone Number
937-374-6010
Fax Number
937-374-6014
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
482 N Detroit St
City
Xenia
State
Ohio
Zip
45385
Phone Number
937-374-6010
Fax Number
937-374-6014
person
Provider Business Mailing Address Details
Address
482 N Detroit St
City
Xenia
State
Ohio
Zip
45385
Phone Number
937-374-6010
Fax Number
937-374-6014
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
C0003153 (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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