Provider Demographics
NPI:1255646618
Name:STANCIU, LAWRENCE EDWARD (LPC)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:EDWARD
Last Name:STANCIU
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5440 W FRANKLIN RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83705-1079
Mailing Address - Country:US
Mailing Address - Phone:208-336-9076
Mailing Address - Fax:208-336-9079
Practice Address - Street 1:5440 W FRANKLIN RD
Practice Address - Street 2:SUITE 101
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-1079
Practice Address - Country:US
Practice Address - Phone:208-336-9076
Practice Address - Fax:208-336-9079
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-4583101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional