Provider Demographics
NPI:1144723982
Name:BROWN, LAURA ANN (LPC, LAT, ATR)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC, LAT, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1387 11TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-4635
Mailing Address - Country:US
Mailing Address - Phone:971-235-8049
Mailing Address - Fax:
Practice Address - Street 1:1880 WILLAMETTE FALLS DR STE 220
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-4655
Practice Address - Country:US
Practice Address - Phone:503-487-2400
Practice Address - Fax:503-487-2487
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-16
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC6318101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health