person
Jacob Lorenz, BA,MHP
Mental Health Counselor in Vienna, Illinois
NPI 1164046447

Jacob Lorenz is a Mental Health Counselor based in Vienna, IL and is specialized in Mental Health. Jacob Lorenz practices in Vienna, IL and has the professional credentials of BA,MHP. The NPI Number for Jacob Lorenz is 1164046447 and holds a License No. (Illinois).

The current practice location address for Jacob Lorenz is 101 Oliver St, Vienna, IL and can be reached out via phone at 618-658-2611 and via fax at 618-658-2501.

Location: 101 Oliver St, Vienna, IL, 62995-1660
person
Provider Profile Details
NPI Number
1164046447
Provider Name
Jacob Lorenz
Credential
BA,MHP
Provider Entity Type
Individual
Gender
Male
Address
101 Oliver St, Vienna, IL, 62995-1660
Phone Number
618-658-2611
Fax Number
618-658-2501
Provider Enumeration Date
06/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Oliver St
City
State
Zip
62995-1660
Phone Number
618-658-2611
Fax Number
618-658-2501
person
Provider Business Mailing Address Details
Address
101 Oliver St
City
State
Zip
62995-1660
Phone Number
618-658-2611
Fax Number
618-658-2501
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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