| Doctor Name: | MR. LAWRENCE DANIEL GEORGE |
| NPI Number: | 1083663470 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC |
| License Number: | E.0001966-SUPV |
| Business Practice Address: | 250 W Woodmere Dr Tiffin, OH - 448838937 |
| Business Phone Number: | 4194473557 |
| Business Fax Number: | |
| Mailing Address: | 250 W Woodmere Dr, TIFFIN |
| State: | OH |
| Postal Code: | 448838937 |
| Phone Number: | 4194473557 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E.0001966-SUPV |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |