Individual
LAWRENCE SCANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LPC
Contact information
Practice address
412 42ND ST, DES MOINES, IA 50312
(312) 771-7722
Mailing address
412 42ND ST, DES MOINES, IA 50312-2814
(312) 771-7722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
084957
IA
101YP2500X
Professional Counselor
178008483
IL
Other
Enumeration date
02/09/2017
Last updated
06/16/2018
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