Provider Demographics
NPI:1548674435
Name:NEWMAN, LAWRENCE JAMES (LCPC, LADC)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:JAMES
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:LCPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 US ROUTE 1 UNIT 5
Mailing Address - Street 2:
Mailing Address - City:KITTERY
Mailing Address - State:ME
Mailing Address - Zip Code:03904-2500
Mailing Address - Country:US
Mailing Address - Phone:603-205-3389
Mailing Address - Fax:207-451-9791
Practice Address - Street 1:518 US ROUTE 1 UNIT 5
Practice Address - Street 2:
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904-2500
Practice Address - Country:US
Practice Address - Phone:603-205-3389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-18
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC5584101YA0400X
MECC4603101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)