Provider Demographics
NPI:1972086445
Name:LAUPPE, CORINNE (LMFT)
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:LAUPPE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WHEATLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95692-9277
Mailing Address - Country:US
Mailing Address - Phone:916-390-2809
Mailing Address - Fax:
Practice Address - Street 1:100 WHEATLAND PARK DR
Practice Address - Street 2:
Practice Address - City:WHEATLAND
Practice Address - State:CA
Practice Address - Zip Code:95692-9286
Practice Address - Country:US
Practice Address - Phone:530-633-3130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40594106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist