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General NPI Number Information
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NPI Number | 1427358696
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Entity Type | Organization
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Legal Business Name | CHRIS LAWRENCE AND ASSOCIATES, LLC.
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 201 W BROADWAY BLDG 2, SUITE F
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City | COLUMBIA
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State | MO
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Zip | 65203-3842
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Country | US
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Telephone | 573-214-0436
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Fax | 573-442-0606
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Provider Business Mailing Address
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Address Line | 201 W BROADWAY BLDG 2, SUITE F
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City | COLUMBIA
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State | MO
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Zip | 65203-3842
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Country | US
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Telephone | 573-214-0436
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Fax | 573-442-0606
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Authorized Official
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Title or Position | HR
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Name | KIM BOWMAN
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Credential |
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Telephone | 573-214-0436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2009031585
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2010018200
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2003027880
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY01793
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License Number State | MO
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