Provider Demographics
NPI:1881742955
Name:OHARRA, LAURA GRIFFIN (LMFT)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:GRIFFIN
Last Name:OHARRA
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 1:3101 I ST.
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816
Mailing Address - Country:US
Mailing Address - Phone:916-491-5364
Mailing Address - Fax:916-488-8012
Practice Address - Street 1:3101 I ST.
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816
Practice Address - Country:US
Practice Address - Phone:916-300-8431
Practice Address - Fax:916-979-1162
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC38551106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist