Provider Demographics
NPI:1639629231
Name:LAWRANCE, CLAIRE (LPC)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:LAWRANCE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:WIBAUX
Mailing Address - State:MT
Mailing Address - Zip Code:59353-0368
Mailing Address - Country:US
Mailing Address - Phone:512-566-2805
Mailing Address - Fax:
Practice Address - Street 1:16351 I94
Practice Address - Street 2:HOME ON THE RANGE
Practice Address - City:SENTINEL BUTTE
Practice Address - State:ND
Practice Address - Zip Code:58654-9500
Practice Address - Country:US
Practice Address - Phone:701-872-3745
Practice Address - Fax:701-872-3748
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND88691516101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional