Provider Demographics
NPI:1023184280
Name:WARD, LORRAINE MARIE (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:MARIE
Last Name:WARD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-1321
Mailing Address - Country:US
Mailing Address - Phone:513-405-0108
Mailing Address - Fax:937-748-8206
Practice Address - Street 1:65 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-1321
Practice Address - Country:US
Practice Address - Phone:513-405-0108
Practice Address - Fax:937-748-8206
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0003095101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health