Provider Demographics
NPI:1558771758
Name:LAUREANO, LAURI (LMHCA)
Entity Type:Individual
Prefix:
First Name:LAURI
Middle Name:
Last Name:LAUREANO
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 CYPRESS LN
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-1859
Mailing Address - Country:US
Mailing Address - Phone:425-346-7114
Mailing Address - Fax:
Practice Address - Street 1:205 AVENUE C
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2730
Practice Address - Country:US
Practice Address - Phone:425-346-7114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60407112101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health