Individual
COLLEEN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
1191 LAKEWOOD RD, TOMS RIVER, NJ 08753-4172
(732) 703-4127
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
(732) 703-4127
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00213700
NJ
101YP2500X
Professional Counselor
Primary
37PC00666400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
04/25/2019
Last updated
04/25/2019
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