Individual
LAURA S HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
413 E SPRING ST, BOONVILLE, MO 65233-1573
(573) 289-8495
(660) 882-7139
Mailing address
413 E SPRING ST, BOONVILLE, MO 65233-1573
(573) 289-8495
(660) 882-7137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2013010487
MO
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/25/2023
Last updated
07/30/2024
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