Halversen, Laurie K

Halversen, Laurie K is an sole proprietor health care provider with primary practice located at 15630 18Th Ave , Clearlake CA 95422-9336. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Halversen, Laurie K can be contacted via phone (707) 994-6486.

Contact Information

Primary practice address
15630 18Th Ave Clearlake CA 95422-9336
Phone: (707) 994-6486
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 26339 California

Profile Details

NPI number 1356649545
LBN Legal business name Halversen, Laurie K
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2011
Last updated Mar 11th, 2011 - about 14 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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