Individual
PORTIA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, NCC, R-DMT
Contact information
Practice address
139 MAIN ST STE 612, BRATTLEBORO, VT 05301-2886
(857) 540-9818
Mailing address
139 MAIN ST RM 613, BRATTLEBORO, VT 05301-2874
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0131607
VT
Other
Enumeration date
08/31/2017
Last updated
04/02/2021
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