person
Laroy Lackey
Mental Health Counselor in Fairview, Oregon
NPI 1780982454

Laroy Lackey is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Laroy Lackey practices in Fairview, OR. The NPI Number for Laroy Lackey is 1780982454 and holds a License No. PROFESSIONALLICENSE (Oregon).

The current practice location address for Laroy Lackey is 1945 Ne 205Th Ave, Fairview, OR and can be reached out via phone at 503-661-8050 and via fax at 503-492-4651.

Location: 1945 Ne 205Th Ave, Fairview, OR, 97504-4004
person
Provider Profile Details
NPI Number
1780982454
Provider Name
Laroy Lackey
Credential
Provider Entity Type
Individual
Gender
Male
Address
1945 Ne 205Th Ave, Fairview, OR, 97504-4004
Phone Number
503-661-8050
Fax Number
503-492-4651
Provider Enumeration Date
03/04/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1945 Ne 205Th Ave
City
State
Zip
97024-9622
Phone Number
503-661-8050
Fax Number
503-492-4651
person
Provider Business Mailing Address Details
Address
1945 Ne 205Th Ave
City
State
Zip
97024-9622
Phone Number
503-661-8050
Fax Number
503-492-4651
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PROFESSIONALLICENSE ()
Definition
Definition to come...
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