Provider Demographics
NPI:1598206526
Name:DRINKARD, LAURA (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:DRINKARD
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S 5TH ST STE 13
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-2602
Mailing Address - Country:US
Mailing Address - Phone:785-379-3373
Mailing Address - Fax:866-285-8398
Practice Address - Street 1:205 S 5TH ST STE 13
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-2602
Practice Address - Country:US
Practice Address - Phone:785-379-3373
Practice Address - Fax:866-285-8398
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-09
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2827106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist