Theresa Vaccariello Lawrence, LCPC

NPI #1053552711 in Normal, Illinois

Provider Information

NPI Number: 1053552711
Entity Type: Individual
Name: Theresa Vaccariello Lawrence, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Mar 10, 2009
Last Updated: Mar 10, 2009

Practice Location

Address: 612 OGLESBY AVE
City: Normal
State: Illinois
ZIP Code: 61761-1888
Phone: (309) 557-1124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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