Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 002310 | NY |
NPI | 1992974331 |
---|---|
Provider Name | Ms. Catherine Laughlan |
First Address | Buffalo, NY 14202 |
Second Address | Buffalo, NY 14202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2008 |
Last Update Date | 28/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002310 | LMHC (01) | NY |