| Robert Lack And Associates | |
|
1010 E Bruneau Ave Kennewick WA 99336-3775 | |
| (509) 735-7410 | |
| (509) 783-5953 |
| Full Name | Robert Lack And Associates |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1010 E Bruneau Ave, Kennewick, Washington |
| Authorized Official Name and Position | Robert G Lack (ADMINISTRATOR) |
| Authorized Official Contact | 5097357410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Lack And Associates Po Box 5697 Kennewick WA 99336-0697 Ph: (509) 735-7410 | Robert Lack And Associates 1010 E Bruneau Ave Kennewick WA 99336-3775 Ph: (509) 735-7410 |
| NPI Number | 1922356906 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 08/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922356906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 03060500 (Washington) | Primary |
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