person
Jessie James Lawrence
Addiction (Substance Use Disorder) Counselor in Ceres, California
NPI 1164988721

Jessie James Lawrence is an Addiction (Substance Use Disorder) Counselor based in Modesto, CA and is specialized in Addiction (Substance Use Disorder). Jessie James Lawrence practices in Ceres, CA. The NPI Number for Jessie James Lawrence is 1164988721 and holds a License No. (California).

The current practice location address for Jessie James Lawrence is 1904 Richland Ave, Ceres, CA and can be reached out via phone at 209-525-7411.

Location: 1904 Richland Ave, Ceres, CA, 95351-1596
person
Provider Profile Details
NPI Number
1164988721
Provider Name
Jessie James Lawrence
Credential
Provider Entity Type
Individual
Gender
Male
Address
1904 Richland Ave, Ceres, CA, 95351-1596
Phone Number
209-525-7411
Fax Number
Provider Enumeration Date
02/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1904 Richland Ave
City
State
Zip
95307-4562
Phone Number
209-525-7411
Fax Number
person
Provider Business Mailing Address Details
Address
1904 Richland Ave
City
State
Zip
95307-4562
Phone Number
209-525-7411
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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