Provider Demographics
NPI:1710209390
Name:HALL, LAWANDA CHERI (LPC)
Entity type:Individual
Prefix:MRS
First Name:LAWANDA
Middle Name:CHERI
Last Name:HALL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3345 NEARBROOK LN
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-5249
Mailing Address - Country:US
Mailing Address - Phone:951-515-5946
Mailing Address - Fax:
Practice Address - Street 1:3345 NEARBROOK LN
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-5249
Practice Address - Country:US
Practice Address - Phone:951-515-5946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-23
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1855101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional