Chisholm, Laura Caitlin

Chisholm, Laura Caitlin is an individual health care provider with primary practice located at 445 3Rd Ave Sw , Albany OR 97321-2272. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chisholm, Laura Caitlin can be contacted via phone (541) 967-3866.

Contact Information

Primary practice address
445 3Rd Ave Sw Albany OR 97321-2272
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L2730

Profile Details

NPI number 1982752374
LBN Legal business name Chisholm, Laura Caitlin
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated May 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982752374 NPPES
Oregon Other L2730 STATE LICENSE NUMBER

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