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PETER PAUL LACK
NPI 1033529987
Psychologist - Addiction (Substance Use Disorder) in Port Townsend, WA

Active since April 30, 2014
3804 HASTINGS AVE W, PORT TOWNSEND, WA 98368(360) 385-5505(360) 385-3605 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peter Paul Lack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER PAUL LACK (NPI 1033529987) is an individual addiction (substance use disorder) provider in Port Townsend, Washington, licensed in Washington (CP00006346) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1033529987
Entity TypeIndividualMale
Primary Taxonomy103TA0400X
Provider Legal NamePETER PAUL LACK
Location Address3804 HASTINGS AVE WPort Townsend, WA 98368-9642
Mailing AddressPo Box 102Port Townsend, WA 98368-0102 · (360) 385-5505 · Fax (360) 385-3605
Phone(360) 385-5505
Fax(360) 385-3605
Sole ProprietorNo
Enumeration DateApril 30, 2014
✔ NPI 1033529987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
License✔ Licensed in WA · CP00006346
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
3804 HASTINGS AVE W, Port Townsend, WA 98368
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRIS LEE KAMPF
Counselor (Addiction (Substance Use Disorder))
3804 HASTINGS AVE W
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-5505
PAIGE ELISE COFFING LSWAIC
Social Worker (Clinical)
3804 HASTINGS AVE W
PORT TOWNSEND, WA 98368
Jefferson County (844) 277-3533
WASHINGTON HEALTH OPERATIONS LLC
Psychiatric Residential Treatment Facility
3804 HASTINGS AVE W
PORT TOWNSEND, WA 98368
Jefferson County (844) 850-5854
GRAY WOLF RANCH
Substance Abuse Rehabilitation Facility
3804 HASTINGS AVE W
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-5505
JORDAN PATRICIA CARR LMHC-A
Counselor (Mental Health)
3804 HASTINGS AVE W
PORT TOWNSEND, WA 98368
Jefferson County (360) 710-7302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Lack's NPI number?

The NPI number for Peter Lack is 1033529987. It was assigned to this individual provider in the NPPES registry on April 30, 2014.

Where is Peter Lack located?

Peter Lack practices at 3804 Hastings Ave W, Port Townsend, WA 98368. The listed phone number is (360) 385-5505.

What is Peter Lack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Peter Lack was last updated on April 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.