Search › Washington › 101YA0400X
Robert Lack, MA, CDP
NPI 1386877389 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1010 E Bruneau Ave
Kennewick, WA 99336 - Phone
- (509) 735-7410
- Fax
- (509) 783-5953
- Organisation at this address
- Action Counseling
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101Y00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-25
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 Washington