Provider Demographics
NPI:1760696330
Name:DAHLMEIER, LAURIE ELLEN (MFT)
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:ELLEN
Last Name:DAHLMEIER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 AMBER GROVE DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973
Mailing Address - Country:US
Mailing Address - Phone:530-898-8446
Mailing Address - Fax:530-898-8449
Practice Address - Street 1:100 AMBER GROVE DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973
Practice Address - Country:US
Practice Address - Phone:530-898-8446
Practice Address - Fax:530-898-8449
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 42714106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist