Provider Demographics
NPI:1861642548
Name:AUBE, LAURA LYNN (ATR-BC, LPC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LYNN
Last Name:AUBE
Suffix:
Gender:F
Credentials:ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:RAYMORE
Mailing Address - State:MO
Mailing Address - Zip Code:64083-9729
Mailing Address - Country:US
Mailing Address - Phone:816-359-1885
Mailing Address - Fax:
Practice Address - Street 1:207 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:RAYMORE
Practice Address - State:MO
Practice Address - Zip Code:64083-9729
Practice Address - Country:US
Practice Address - Phone:816-359-1885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007027921101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional