Individual
LAUREN AVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
250 MANOR DR, PERRYSBURG, OH 43551-3118
(419) 874-0306
(419) 874-9295
Mailing address
1100 SHAWNEE RD, LIMA, OH 45805-3583
(419) 999-2010
(419) 999-6284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S.1502620
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269538
—
OH
Enumeration date
09/02/2015
Last updated
06/03/2020
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