Provider Demographics
NPI:1134292865
Name:LAUBACH, DAVID HOWARD (LPC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HOWARD
Last Name:LAUBACH
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9601 WHITE ROCK TRL
Mailing Address - Street 2:SUITE 240
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-5011
Mailing Address - Country:US
Mailing Address - Phone:214-507-1640
Mailing Address - Fax:972-252-1571
Practice Address - Street 1:9601 WHITE ROCK TRL
Practice Address - Street 2:SUITE 240
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-5011
Practice Address - Country:US
Practice Address - Phone:214-507-1640
Practice Address - Fax:972-252-1571
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18365101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health