Individual
MR. RICHARD LAWRENCE IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
3 ORTIZ DR, PENNSAUKEN, NJ 08110-1249
(215) 870-6113
Mailing address
3 ORTIZ DR, PENNSAUKEN, NJ 08110-1249
(215) 870-6113
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC016318
PA
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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