GINA LAWRENCE LCPC
NPI 1629608633
Counselor - Professional in Pingree Grove, IL
Active since January 17, 2020
About Gina Lawrence Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GINA LAWRENCE LCPC (NPI 1629608633) is an individual professional provider in Pingree Grove, Illinois, licensed in Illinois (180011178) and active in the NPI registry since January 2020.
NPPES Registry Identity
NPI1629608633
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameGINA LAWRENCECredential: LCPC
Location Address1678 RUBY DRPingree Grove, IL 60140-2105
Mailing Address1678 Ruby DrPingree Grove, IL 60140-2105 · (847) 385-8812
Phone(847) 385-8812
Sole ProprietorYes
Enumeration DateJanuary 17, 2020
✔ NPI 1629608633 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180011178
1678 RUBY DR, Pingree Grove, IL 60140
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629608633, enumerated as an "individual" on January 17, 2020.
The provider is located at 1678 RUBY DR PINGREE GROVE, IL 60140 and the phone number is (847) 385-8812.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
