| Patrick Lackamp, LAC | |
|
810 Cedar St, Girard, KS 66743-2056 | |
| (620) 724-8806 | |
| (620) 724-6170 |
| Full Name | Patrick Lackamp |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 810 Cedar St, Girard, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023377785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 466 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Lackamp, LAC 911 E Centennial Dr, Pittsburg, KS 66762-6601 Ph: (620) 231-5130 | Patrick Lackamp, LAC 810 Cedar St, Girard, KS 66743-2056 Ph: (620) 724-8806 |
Jerry Davenport, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 810 Cedar St, Girard, KS 66743 Phone: 620-724-8806 Fax: 620-724-6170 | |
Mr. Steven M.s. Halley, LSCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 E Walnut St, Girard, KS 66743 Phone: 620-724-7111 Fax: 620-724-7168 | |
Bob Banks, APPS COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 810 Cedar St, Girard, KS 66743 Phone: 620-724-8806 | |
Mr. James Marshall Childers, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 810 Cedar St, Girard, KS 66743 Phone: 620-724-8806 | |
Brandon M Mork, Counselor Medicare: Not Enrolled in Medicare Practice Location: 810 Cedar St, Girard, KS 66743 Phone: 620-724-8806 | |
Sharon Carpino, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 810 Cedar St, Girard, KS 66743 Phone: 620-724-8806 Fax: 620-724-6170 |