| Doctor Name: | KIPP R LAWRENCE |
| NPI Number: | 1508034208 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC |
| License Number: | 167 |
| Business Practice Address: | 68 Cumberland St Suite 102 Woonsocket, RI - 028953300 |
| Business Phone Number: | 4013561940 |
| Business Fax Number: | |
| Mailing Address: | 68 Cumberland Street Suite 102, WOONSOCKET |
| State: | RI |
| Postal Code: | 02895 |
| Phone Number: | 4013561940 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2008 |
| NPI Last Update Date: | 04/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 167 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |