Provider Demographics
NPI:1255583712
Name:ALBRITTON, LAUREN LEE (BA)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:LEE
Last Name:ALBRITTON
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:LEE
Other - Last Name:HAINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:PO BOX 3810
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98213-8810
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:425-349-8348
Practice Address - Street 1:1100 S 2ND ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-4209
Practice Address - Country:US
Practice Address - Phone:360-419-3540
Practice Address - Fax:360-419-3505
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health