Individual
MS. LAURA JEAN ALCALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LADC, MFT-I
Contact information
Practice address
7785 SAINT GERTRUDE AVE, RALEIGH, ND 58564-4103
(701) 597-3419
Mailing address
7785 SAINT GERTRUDE AVE, RALEIGH, ND 58564-4103
(702) 485-0048
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
01349
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1888
ND
106H00000X
Marriage & Family Therapist
0667
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1888
STATE OF NORTH DAKOTA
ND
Enumeration date
10/19/2015
Last updated
07/23/2020
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