Individual provider · Type 1 NPI

Theresa Vaccariello Lawrence, LCPC

Professional Counselor · Normal, IL

NPI number 1053552711 Active

Practice location

612 Oglesby Ave
Normal, IL 61761-1888

Call (309) 557-1124 Map

Mailing address

1100 Beech St, Bldg 7
Normal, IL 61761-1493

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180004147 (IL)

Professional Counselor: Definition to come...

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About NPI 1053552711

Theresa Vaccariello Lawrence, LCPC's National Provider Identifier is 1053552711, issued on Mar 10, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Normal, IL. The record was last updated on Mar 10, 2009.