Provider Demographics
NPI:1205966025
Name:PERRINI, LAWRENCE KIRKWOOD (MC,NCC,LPC,LISAC)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:KIRKWOOD
Last Name:PERRINI
Suffix:
Gender:M
Credentials:MC,NCC,LPC,LISAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7770 S SOLOMON AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-5111
Mailing Address - Country:US
Mailing Address - Phone:520-444-1650
Mailing Address - Fax:
Practice Address - Street 1:7770 S SOLOMON AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747-5111
Practice Address - Country:US
Practice Address - Phone:520-444-1650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC 10729101YA0400X
AZLPC 10472101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional