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Organization
LIFESOURCE THERAPY LLC
Active
Organization
LIFESOURCE THERAPY LLC
Active
Other names
Gina Lawrence
Organization subpart
No
Provider details
NPI number
Authorized official
GINA R LAWRENCE LPC (PROVIDER)
(541) 777-7230
Entity
Organization
Contact information
Practice address
24455 DODDS RD, BEND, OR 97701-9665
(541) 777-7230
Mailing address
1900 NE 3RD ST STE 106, BEND, OR 97701-3889
(541) 777-7230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
08/18/2025
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