Individual
MRS. LAURIE T HADDOW
Active
Individual
MRS. LAURIE T HADDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC0000001420
TN
101YM0800X
Mental Health Counselor
LPC0000001420
TN
101YP2500X
Professional Counselor
Primary
LPC0000001420
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128969
CIGNA
TN
01
—
4094243
TN BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/02/2005
Last updated
02/04/2008
Update your record
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