Jamie Laurson

NPI #1720376221 in Bloomington, Illinois

Provider Information

NPI Number: 1720376221
Entity Type: Individual
Name: Jamie Laurson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 18, 2011
Last Updated: Oct 5, 2021

Practice Location

Address: 2416 E WASHINGTON STREET
Address 2: #A3
City: Bloomington
State: Illinois
ZIP Code: 61704
Phone: (309) 242-3975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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