Provider Demographics
NPI:1700314358
Name:LAUNDERVILLE, JUSTIN (LMHC)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:LAUNDERVILLE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 LANCASTER ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-2212
Mailing Address - Country:US
Mailing Address - Phone:774-415-0774
Mailing Address - Fax:
Practice Address - Street 1:14 LANCASTER ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2212
Practice Address - Country:US
Practice Address - Phone:774-415-0774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-26
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health