Provider Demographics
NPI:1629581541
Name:JUOZAPAITIS, LAURA LOUISE
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LOUISE
Last Name:JUOZAPAITIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14427 54TH PL W
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-3810
Mailing Address - Country:US
Mailing Address - Phone:425-346-1319
Mailing Address - Fax:
Practice Address - Street 1:14427 54TH PL W
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-3810
Practice Address - Country:US
Practice Address - Phone:425-346-1319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor