| Jacob Lawrence Lcsw Lcas | |
|
19 Eplee Ln Candler NC 28715-6403 | |
| (828) 458-9445 | |
| (828) 544-1201 |
| Full Name | Jacob Lawrence Lcsw Lcas |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19 Eplee Ln, Candler, North Carolina |
| Authorized Official Name and Position | Jacob Douglas Lawrence (AUTHORIZED INDIVIDUAL) |
| Authorized Official Contact | 8284589445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Lawrence Lcsw Lcas 19 Eplee Ln Candler NC 28715-6403 Ph: (828) 458-9445 | Jacob Lawrence Lcsw Lcas 19 Eplee Ln Candler NC 28715-6403 Ph: (828) 458-9445 |
| NPI Number | 1356900849 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 04/06/2023 |
| Certification Date | 04/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356900849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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