Provider Demographics
NPI:1598183691
Name:CHESTER, LAURA ANN (MA, LMHC, CDP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:CHESTER
Suffix:
Gender:F
Credentials:MA, LMHC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 BOREN AVE., SUITE 1300
Mailing Address - Street 2:DOWNTOWN SEATTLE COUNSELING, CABRINI MEDICAL TOWER
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104
Mailing Address - Country:US
Mailing Address - Phone:206-478-9272
Mailing Address - Fax:
Practice Address - Street 1:901 BOREN AVE., SUITE 1300
Practice Address - Street 2:DOWNTOWN SEATTLE COUNSELING, CABRINI MEDICAL TOWER
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-478-9272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00005031101YA0400X
WALH 00010359101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)