Provider Demographics
NPI:1831375138
Name:NATUSCH, LAURA ANN (LMFT)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ANN
Last Name:NATUSCH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13550 NE VILLAGE SQUARE DR APT H206
Mailing Address - Street 2:ATTN: LAURA NATUSCH
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-4700
Mailing Address - Country:US
Mailing Address - Phone:206-639-4478
Mailing Address - Fax:
Practice Address - Street 1:604 NW GLENWOOD COURT
Practice Address - Street 2:
Practice Address - City:COUPEVILLE
Practice Address - State:WA
Practice Address - Zip Code:98239
Practice Address - Country:US
Practice Address - Phone:206-639-4478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2175106H00000X
WALF60959009106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist