Individual provider · Type 1 NPI

Lawrence Ethan Gros

Mental Health Counselor · Bronx, NY

NPI number 1619365129 Active

Practice location

358 East 149th St., 2nd Fl
Bronx, NY 10455

Call (718) 553-1100 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1619365129

Lawrence Ethan Gros's National Provider Identifier is 1619365129, issued on Jan 6, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Jan 6, 2015.