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Mr. William Michael Lawrence, BS
Mental Health Counselor in Mountain Home, Idaho
NPI 1194845974

William Michael Lawrence is a Mental Health Counselor based in Mountain Home, ID and is specialized in Mental Health. William Michael Lawrence practices in Mountain Home, ID and has the professional credentials of BS. The NPI Number for William Michael Lawrence is 1194845974 and holds a License No. (Idaho).

The current practice location address for William Michael Lawrence is 235 N 3Rd E, Mountain Home, ID and can be reached out via phone at 208-587-2900 and via fax at 208-587-2992.

Location: 235 N 3Rd E, Mountain Home, ID, 83647-0513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194845974
Provider Name
William Michael Lawrence
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
235 N 3Rd E, Mountain Home, ID, 83647-0513
Phone Number
208-587-2900
Fax Number
208-587-2992
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8060918 05 ID
institution
Provider Business Practice Location Address Details
Address
235 N 3Rd E
City
Mountain Home
State
Idaho
Zip
83647-2734
Phone Number
208-587-2900
Fax Number
208-587-2992
person
Provider Business Mailing Address Details
Address
235 N 3Rd E
City
Mountain Home
State
Idaho
Zip
83647-2734
Phone Number
208-587-2900
Fax Number
208-587-2992
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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