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Individual
MR. LAWRENCE DAVID HANELLY
Active
Individual
MR. LAWRENCE DAVID HANELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC000280
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC000280
PA
101YM0800X
Mental Health Counselor
LPC000280
PA
101YM0800X
Mental Health Counselor
Primary
PC000280
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105602
—
PA
Enumeration date
12/19/2006
Last updated
01/06/2009
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