Provider Demographics
NPI:1619093085
Name:LAUNER, ANITA LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:LYNN
Last Name:LAUNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 SW 9TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-2726
Mailing Address - Country:US
Mailing Address - Phone:541-923-1818
Mailing Address - Fax:541-923-1818
Practice Address - Street 1:707 SW 9TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2726
Practice Address - Country:US
Practice Address - Phone:541-923-1818
Practice Address - Fax:541-923-1818
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR14721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical