Provider Demographics
NPI:1033498225
Name:PEARSON, LORRIE LINN (MA, LIMHP, ACS)
Entity Type:Individual
Prefix:
First Name:LORRIE
Middle Name:LINN
Last Name:PEARSON
Suffix:
Gender:F
Credentials:MA, LIMHP, ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 S 5TH ST
Mailing Address - Street 2:PO BOX 288
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434-2170
Mailing Address - Country:US
Mailing Address - Phone:402-641-4461
Mailing Address - Fax:
Practice Address - Street 1:156 S 5TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SEWARD
Practice Address - State:NE
Practice Address - Zip Code:68434-2170
Practice Address - Country:US
Practice Address - Phone:402-362-3353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-05
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE835101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health