Hause, Laurel Ann

Hause, Laurel Ann is an individual health care provider with primary practice located at 2811 Indian School Rd Ne , Albuquerque NM 87106-1825. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Hause, Laurel Ann can be contacted via phone (505) 243-1158.

Contact Information

Primary practice address
2811 Indian School Rd Ne Albuquerque NM 87106-1825
Fax: (505) 243-2115
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Illinois

Profile Details

NPI number 1902971401
LBN Legal business name Hause, Laurel Ann
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1902971401 NPPES
New Mexico MEDICAID 54109361

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