Individual
MR. LAWRENCE DANIEL GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
250 W WOODMERE DR, TIFFIN, OH 44883-8937
(419) 447-3557
Mailing address
250 W WOODMERE DR, TIFFIN, OH 44883-8937
(419) 447-3557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E.0001966-SUPV
OH
101YP2500X
Professional Counselor
Primary
E0001996-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000304312
ANTHEM BLUE CROSS BLUE SH
OH
Enumeration date
05/10/2006
Last updated
07/28/2017
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