Most Relevant Information
Provider Data
| NPI Number: | 1003514795 |
| Provider Name: | LAUREN WHITECOTTON BA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/21/2023 |
| Last Updated: | 06/27/2024 |
Provider Practice Location
920 W CUSTER AVE
PONTIAC
IL
617641067
Practice Location Phone/Fax
| Phone: | 8158446109 |
| Fax: |
Provider Mailing Location
PO BOX 768
PONTIAC
IL
617640768
Provider Mailing Phone/Fax
| Phone: | 8158446109 |
| Fax: | 8158443561 |