Provider Demographics
NPI:1649780826
Name:ZWISLER, LAURA ANNE (MA, LPCC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANNE
Last Name:ZWISLER
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 GATEWAY CIR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-2625
Mailing Address - Country:US
Mailing Address - Phone:1303-449-8585
Mailing Address - Fax:
Practice Address - Street 1:260 S 112TH ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-9031
Practice Address - Country:US
Practice Address - Phone:720-316-9878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0015343101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor