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NPI Code Detail

MEDICARE: LORI WARDWELL LMHCA

MEDICARE: LORI WARDWELL LMHCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorAC-0010348DE

General Provider Information

NPI Number : 1932879343
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI WARDWELL LMHCA
Provider Business Mailing Address
First Line : 650 NAAMANS RD STE 110
Second Line :
City : CLAYMONT
State : DE
Zip : 19703-2301
Country : US
Telephone Number : 302-339-3991
Fax Number :
Provider Business Practice Location Address
First Line : 650 NAAMANS RD STE 110
Second Line :
City : CLAYMONT
State : DE
Zip : 19703-2301
Country : US
Telephone Number : 302-224-1400
Fax Number : 302-224-1402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2021
Last Update Date : 11/12/2024

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Directions to “ LORI WARDWELL LMHCA” Practice Location

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