NPI Profile for SHAIREE LACKEY in EVANSTON, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Health |
103TH0004X | 62 | Psychologist, Clinical | |
Mental Health |
101YM0800X | |||
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1740813021 |
|
| Status | Active | |
| Credentials | PHD, LCPC, CADC | |
| Entity | Individual | |
| Enumeration date | 02/15/2020 | |
| Last updated | 01/19/2026 - About 5 months ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SHAIREE LACKEY
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