Provider Demographics
NPI:1336762905
Name:DANIELS, LAURA (LPCC, LADAC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:DANIELS
Suffix:
Gender:F
Credentials:LPCC, LADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 RIO RANCHO BLVD NE STE 301D
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-1456
Mailing Address - Country:US
Mailing Address - Phone:708-528-7630
Mailing Address - Fax:
Practice Address - Street 1:333 HIGHWAY 528 NE
Practice Address - Street 2:SUITE 301 D
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-1999
Practice Address - Country:US
Practice Address - Phone:708-528-7630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional