Individual
LAURA BOYD FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701004797
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102339
VA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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