Provider Demographics
NPI:1770201782
Name:LAURICH-GLUBRECHT, CHELAN ROCHELLE (MSW)
Entity type:Individual
Prefix:
First Name:CHELAN
Middle Name:ROCHELLE
Last Name:LAURICH-GLUBRECHT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:CHELAN
Other - Middle Name:ROCHELLE
Other - Last Name:LAURICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:117 S. CEDAR ST.
Mailing Address - Street 2:STE 4
Mailing Address - City:BUCKLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98321
Mailing Address - Country:US
Mailing Address - Phone:360-234-2631
Mailing Address - Fax:
Practice Address - Street 1:10914 E 22ND AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5633
Practice Address - Country:US
Practice Address - Phone:509-828-0445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical