Provider Demographics
NPI:1609390616
Name:PEOPLES, LAURA (LCADC, LSW)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:PEOPLES
Suffix:
Gender:F
Credentials:LCADC, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MONUMENT DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3036
Mailing Address - Country:US
Mailing Address - Phone:609-924-8018
Mailing Address - Fax:609-688-2045
Practice Address - Street 1:1 MONUMENT DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3036
Practice Address - Country:US
Practice Address - Phone:609-924-8018
Practice Address - Fax:609-688-2045
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health