Individual
LORICE JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6744
Mailing address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16058-132
WI
101YP2500X
Professional Counselor
Primary
6125-125
WI
Other
Enumeration date
07/22/2013
Last updated
05/30/2025
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