Jacob Lorenz, BA, MHP

NPI #1164046447 in Vienna, Illinois

Provider Information

NPI Number: 1164046447
Entity Type: Individual
Name: Jacob Lorenz, BA, MHP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: BA, MHP
Enumeration Date: Jun 3, 2020
Last Updated: Jun 3, 2020

Practice Location

Address: 101 OLIVER ST
City: Vienna
State: Illinois
ZIP Code: 62995-1660
Phone: (618) 658-2611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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