MR. Lee Todd Lacks, LCPC-C, MT-BC
NPI #1285918383 in South Portland, Maine
Provider Information
- NPI Number
- 1285918383
- Entity Type
- Individual
- Name
- MR. Lee Todd Lacks, LCPC-C, MT-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Credential
- LCPC-C, MT-BC
- Enumeration Date
- Oct 6, 2011
- Last Updated
- Oct 6, 2011
Practice Location
- Address
- 9 LEMONT AVE
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-5717
- Phone
- (207) 210-6045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
| Community/Behavioral Health |
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