Organization
HOPE FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM L LAWSON M.ED, LPC, LPCC, NCC (THERAPIST/DIRECTOR)
(276) 639-5710
Entity
Organization
Contact information
Practice address
235 S LAKEWOOD ST, PENNINGTON GAP, VA 24277-2039
(276) 639-5710
Mailing address
235 S LAKEWOOD ST, PENNINGTON GAP, VA 24277-2039
(276) 639-5710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701005355
VIRGINIA LICENSING BOARD
VA
01
—
1402
KENTUCKY LICENSING BOARD
KY
Enumeration date
02/16/2013
Last updated
02/16/2013
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