Provider Demographics
NPI:1417400599
Name:GUNN, LAURA (LPCC-S)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:GUNN
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3341 WUNDER AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-5955
Mailing Address - Country:US
Mailing Address - Phone:513-623-8248
Mailing Address - Fax:
Practice Address - Street 1:3341 WUNDER AVE.
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-5955
Practice Address - Country:US
Practice Address - Phone:513-623-8248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0003932101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health