Havens, Laura J

Havens, Laura J is an sole proprietor health care provider with primary practice located at 104 North Laurel St Suite 114 , Port Angeles WA 98362. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Havens, Laura J can be contacted via phone (360) 460-0217.

Contact Information

Primary practice address
104 North Laurel St Suite 114 Port Angeles WA 98362
Phone: (360) 460-0217
Fax: (360) 504-3699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60527932 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF60805478
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMFTLF60805478 Washington

Profile Details

NPI number 1245674829
LBN Legal business name Havens, Laura J
Credentials LMFT LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2013
Last updated Oct 23rd, 2018 - about 6 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 1245674829 NPPES
Washington MEDICAID 2047063

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