SearchMaine251S00000X

Lee Lacks, LCPC-C, MT-BC

NPI 1285918383 · on the registry since 2011 · sole proprietor

Practice

Address
9 Lemont Ave
South Portland, ME 04106
Phone
(207) 210-6045

Registry record

Primary taxonomy
251S00000X
251S00000X
Also registered as
251C00000X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine