Individual
MR. STEVEN MICHAEL LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
9474 W FAIRVIEW AVE, BOISE, ID 83704-8101
(208) 440-5127
Mailing address
9474 W FAIRVIEW AVE, BOISE, ID 83704-8101
(208) 440-5127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005818
CT
101YM0800X
Mental Health Counselor
LCPC-8489
ID
Other
Enumeration date
07/05/2018
Last updated
07/24/2023
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