Individual provider · Type 1 NPI
Gina Lawrence, LCPC
Professional Counselor · Pingree Grove, IL
NPI number
1629608633
Active
Practice location
1678 Ruby Dr
Pingree Grove, IL 60140-2105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180011178 (IL) |
Professional Counselor: Definition to come...
About NPI 1629608633
Gina Lawrence, LCPC's National Provider Identifier is 1629608633, issued on Jan 17, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pingree Grove, IL. The record was last updated on Jan 17, 2020.