Individual
LAURA ANN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC
Contact information
Practice address
401 S EARL AVE STE 4A, LAFAYETTE, IN 47904-3265
(765) 297-0090
Mailing address
401 S EARL AVE STE 4A, LAFAYETTE, IN 47904-3265
(765) 297-0090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001813A
IN
104100000X
Social Worker
33010727A
IN
Other
Enumeration date
12/13/2022
Last updated
03/26/2026
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