Individual
JENNIFER SUSAN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1471 ELMWOOD AVE, CRANSTON, RI 02910-3849
(401) 490-7320
(401) 727-2825
Mailing address
275 BELMONT ST, WORCESTER, MA 01604-1675
(508) 373-7811
(508) 795-1338
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
000008563
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
12/14/2010
Last updated
01/02/2014
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