Lack, Robert Glenn

Lack, Robert Glenn is an sole proprietor health care provider with primary practice located at 1010 E Bruneau Ave , Kennewick WA 99336-3775. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Lack, Robert Glenn can be contacted via phone (509) 735-7410.

Contact Information

Primary practice address
1010 E Bruneau Ave Kennewick WA 99336-3775
Phone: (509) 735-7410
Fax: (509) 783-5953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X RC-00018500 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP-00001417 Washington

Profile Details

NPI number 1386877389
LBN Legal business name Lack, Robert Glenn
Credentials MA, CDP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2009
Last updated Aug 25th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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