Organization · NPI-2

A. Lawrence Therapy, P.C

Counselor, Professional · Chicago, IL

NPI number1013314269
StatusActive
Last updated in NPPESDec 2, 2014

Details

NPI
1013314269
Entity type
Organization (NPI-2)
Legal business name
A. Lawrence Therapy, P.C
Organization subpart
No
Enumeration date
Dec 2, 2014
Last updated
Dec 2, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional180.007773ILYes

Practice location

1165 N Clark St
Suite 202
Chicago, IL 60610-2702

Phone 312-919-1498

Mailing address

1165 N Clark St
# 202
Chicago, IL 60610-2702

Phone 312-919-1498

Authorized official

Ashly Lawrence
Owner
3129191498

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