Lawrence Todd Waxman, LPC
Counselor, Mental Health in Cary, NC. Individual provider (NPI-1).
NPI number1760633002
StatusActive
Last updated in NPPESOct 8, 2012
Details
- NPI
- 1760633002
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lawrence Todd Waxman
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 6, 2008
- Last updated
- Oct 8, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 9373 | NC | Yes |
Practice location
410 Trappers Run DrCary, NC 27513-4833
Phone 847-421-0778
Mailing address
410 Trappers Run DrCary, NC 27513-4833
Phone 847-421-0778
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