person
Theresa Vaccariello Lawrence, LCPC
Professional Counselor in Normal, Illinois
NPI 1053552711

Theresa Vaccariello Lawrence is a Professional Counselor based in Normal, IL and is specialized in Professional. Theresa Vaccariello Lawrence practices in Normal, IL and has the professional credentials of LCPC. The NPI Number for Theresa Vaccariello Lawrence is 1053552711 and holds a License No. 180004147 (Illinois).

The current practice location address for Theresa Vaccariello Lawrence is 612 Oglesby Ave, Normal, IL and can be reached out via phone at 309-557-1124.

Location: 612 Oglesby Ave, Normal, IL, 61761-1493
person
Provider Profile Details
NPI Number
1053552711
Provider Name
Theresa Vaccariello Lawrence
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
612 Oglesby Ave, Normal, IL, 61761-1493
Phone Number
309-557-1124
Fax Number
Provider Enumeration Date
03/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
612 Oglesby Ave
City
State
Zip
61761-1888
Phone Number
309-557-1124
Fax Number
person
Provider Business Mailing Address Details
Address
612 Oglesby Ave
City
State
Zip
61761-1888
Phone Number
309-557-1124
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180004147 (Illinois)
Definition
Definition to come...
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