Individual
MS. TARA LEE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1995 WINCHESTER ROAD, WINCHESTER, ID 83555-8355
(509) 520-9869
Mailing address
PO BOX 89, WINCHESTER, ID 83555-0089
(509) 520-9869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
COUI-8239
ID
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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