Jamie Laurson Lcpc Pllc

NPI #1346902632 in Bloomington, Illinois

Provider Information

NPI Number: 1346902632
Entity Type: Organization
Organization Name: Jamie Laurson Lcpc Pllc
Primary Specialty: Counselor
Enumeration Date: Oct 13, 2021
Last Updated: Nov 3, 2021

Practice Location

Address: 2416 E WASHINGTON ST STE A3
City: Bloomington
State: Illinois
ZIP Code: 61704-1608
Phone: (309) 242-3975

Authorized Official

Name: JAMIE LAURSON
Title: COUNSELOR
Phone: (309) 242-3975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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