Individual
GINA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1678 RUBY DR, PINGREE GROVE, IL 60140-2105
(847) 385-8812
Mailing address
1678 RUBY DR, PINGREE GROVE, IL 60140-2105
(847) 385-8812
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180011178
IL
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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