Provider Demographics
NPI:1376325464
Name:PIOTROWSKI, LAURA (AMFT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:PIOTROWSKI
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 2ND AVE S
Mailing Address - Street 2:
Mailing Address - City:PACHECO
Mailing Address - State:CA
Mailing Address - Zip Code:94553-5571
Mailing Address - Country:US
Mailing Address - Phone:925-548-2707
Mailing Address - Fax:
Practice Address - Street 1:320 2ND AVE S
Practice Address - Street 2:
Practice Address - City:PACHECO
Practice Address - State:CA
Practice Address - Zip Code:94553-5571
Practice Address - Country:US
Practice Address - Phone:925-548-2707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA117706106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist