Provider Demographics
NPI:1861730772
Name:HUMPF, LAURA NICOLE (LMFT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:NICOLE
Last Name:HUMPF
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 48TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-4601
Mailing Address - Country:US
Mailing Address - Phone:206-478-5357
Mailing Address - Fax:
Practice Address - Street 1:600 1ST AVE STE 214A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2238
Practice Address - Country:US
Practice Address - Phone:206-478-5357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist