MR. ROBERT GLENN LACK III MA, CDP
NPI 1386877389
Counselor - Addiction (Substance Use Disorder) in Kennewick, WA

Active since August 25, 2009
1010 E BRUNEAU AVE, KENNEWICK, WA 99336(509) 735-7410(509) 783-5953 Get Directions Write a Review

NPPES record last updated: August 25, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Robert Glenn Lack Iii Ma, Cdp NPPES

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

MR. ROBERT GLENN LACK III MA, CDP (NPI 1386877389) is an individual addiction (substance use disorder) provider in Kennewick, Washington, licensed in Washington (CP-00001417) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1386877389
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ROBERT GLENN LACK IIICredential: MA, CDP
Location Address1010 E BRUNEAU AVEKennewick, WA 99336-3775
Mailing AddressPo Box 5697Kennewick, WA 99336-0697 · (509) 735-7410 · Fax (509) 783-5953
Fax(509) 783-5953
Sole ProprietorYes
Enumeration DateAugust 25, 2009
NPI 1386877389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP-00001417
Also ListedCounselorTaxonomy 101Y00000X · License RC-00018500 (WA)
1010 E BRUNEAU AVE, Kennewick, WA 99336

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
1010 E BRUNEAU AVE
KENNEWICK, WA 99336

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 Robert Lack's NPI number?

The NPI number for Robert Lack is 1386877389. It was assigned to this individual provider in the NPPES registry on August 25, 2009.

Where is Robert Lack located?

Robert Lack practices at 1010 E Bruneau Ave, Kennewick, WA 99336. The listed phone number is (509) 735-7410.

What is Robert Lack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Robert Lack was last updated on August 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.