Individual
LAURA L CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC
Contact information
Practice address
1 E APACHE ST, WICKENBURG, AZ 85390-2442
(928) 668-4725
(928) 668-4397
Mailing address
1 E APACHE ST, WICKENBURG, AZ 85390-2442
(928) 668-4725
(928) 668-4397
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC13946
AZ
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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