Individual
PAULINE LAURENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPCC,BCC,BS
Contact information
Practice address
2727 TACHEVAH DR APT 24, SANTA ROSA, CA 95405-8441
(707) 332-1406
Mailing address
2727 TACHEVAH DR APT 24, SANTA ROSA, CA 95405-8441
(707) 578-4226
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CPCC, BCC
CA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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