Individual
THERESA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CAC III
Contact information
Practice address
5250 PIKES PEAK HWY, CASCADE, CO 80809-1110
(719) 684-7846
Mailing address
1155 KELLY JOHNSON BLVD STE 201, COLORADO SPRINGS, CO 80920-3957
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06355
CO
Other
Enumeration date
06/14/2016
Last updated
06/16/2016
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