Provider Demographics
NPI:1740484492
Name:STREICH, LAURA ANN (AAC- CG60120606)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ANN
Last Name:STREICH
Suffix:
Gender:F
Credentials:AAC- CG60120606
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 E OLIVE ST
Mailing Address - Street 2:SOUND MENTAL HEALTH
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2735
Mailing Address - Country:US
Mailing Address - Phone:206-302-2200
Mailing Address - Fax:206-302-2210
Practice Address - Street 1:122 16TH AVE E
Practice Address - Street 2:CAPITOL HILL NORTH
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-5212
Practice Address - Country:US
Practice Address - Phone:206-302-2700
Practice Address - Fax:206-302-2710
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health