Individual
LAURIE LAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
7670 E BROADWAY BLVD STE 107, TUCSON, AZ 85710-3440
(520) 791-9974
Mailing address
7445 N ORACLE RD STE 155, TUCSON, AZ 85704-6367
(520) 791-9974
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-22753
AZ
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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