Individual
MR. RICHARD LAURITZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1100 E DEUCE OF CLUBS, SUITE B, SHOW LOW, AZ 85901-4943
(928) 537-9743
Mailing address
1100 E DEUCE OF CLUBS, SUITE B, SHOW LOW, AZ 85901-4943
(928) 537-9743
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-13157
AZ
Other
Enumeration date
04/02/2007
Last updated
12/13/2010
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