| NPI | 1356900849 |
|---|---|
| Doing Business As | JACOB LAWRENCE LCSW LCAS |
| Entity Type | Organization |
| Authorized Contact | JACOB DOUGLAS LAWRENCE Authorized Individual 828-458-9445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2023-04-06 |