Provider Demographics
NPI:1407908676
Name:PRESLEY, LAUEN WINTER (BA)
Entity Type:Individual
Prefix:MISS
First Name:LAUEN
Middle Name:WINTER
Last Name:PRESLEY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5860 MCBRYDE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94805-1162
Mailing Address - Country:US
Mailing Address - Phone:510-237-3992
Mailing Address - Fax:
Practice Address - Street 1:5860 MCBRYDE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94805-1162
Practice Address - Country:US
Practice Address - Phone:510-237-3992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health