Provider Demographics
NPI:1073615936
Name:SEFTEL, LAURA (LMHC, ATR-BC)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:SEFTEL
Suffix:
Gender:F
Credentials:LMHC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 NORWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-2719
Mailing Address - Country:US
Mailing Address - Phone:413-586-7710
Mailing Address - Fax:
Practice Address - Street 1:221 PINE ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1267
Practice Address - Country:US
Practice Address - Phone:413-586-7710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA794101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health