Provider Demographics
NPI:1982793758
Name:CARVER, LAURA J (MA LPC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:J
Last Name:CARVER
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2326 BRECKENRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:BERTHOUD
Mailing Address - State:CO
Mailing Address - Zip Code:80513-7008
Mailing Address - Country:US
Mailing Address - Phone:970-346-9057
Mailing Address - Fax:970-378-2506
Practice Address - Street 1:3400 W 16TH ST
Practice Address - Street 2:BLDG 6 STE K
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-6862
Practice Address - Country:US
Practice Address - Phone:970-346-9057
Practice Address - Fax:970-378-2506
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO1132101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional