Provider Demographics
NPI:1861905192
Name:TRIETSCH, LAURA MCFARLANE (LPC)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:MCFARLANE
Last Name:TRIETSCH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 SMITH CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WIMBERLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78676-5568
Mailing Address - Country:US
Mailing Address - Phone:512-585-3917
Mailing Address - Fax:
Practice Address - Street 1:235 SMITH CREEK RD
Practice Address - Street 2:
Practice Address - City:WIMBERLEY
Practice Address - State:TX
Practice Address - Zip Code:78676-5568
Practice Address - Country:US
Practice Address - Phone:512-585-3917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-08
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75188101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional