| NPI | 1003660036 |
|---|---|
| Other Name | GINA LAWRENCE |
| Entity Type | Organization |
| Authorized Contact | GINA R LAWRENCE Provider 541-777-7230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2025-08-18 |