Provider Demographics
NPI:1003149337
Name:HANAFORD, LAURA ANN (MED, LMHC, LCPC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:HANAFORD
Suffix:
Gender:F
Credentials:MED, LMHC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 SYLVAN RD
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-8851
Mailing Address - Country:US
Mailing Address - Phone:978-269-4347
Mailing Address - Fax:
Practice Address - Street 1:57 WINGATE ST UNIT 401
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-5759
Practice Address - Country:US
Practice Address - Phone:978-241-4908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-18
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health