Individual
ANGELICA LAURIANO-ELDRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Mailing address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60544619
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2124344
—
WA
01
—
LH60544619
WASHINGTON DEPT. OF HEALTH
WA
Enumeration date
07/07/2017
Last updated
04/13/2023
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