Doctor Name: | LAUREN ASHLEY OGREN |
NPI Number: | 1003246570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., MFT, LPCCI |
License Number: | PCCI241 |
Business Practice Address: | 710 C St Suite D San Rafael, CA - 949013857 |
Business Phone Number: | 4154886650 |
Business Fax Number: | |
Mailing Address: | 710 C St, Suite D SAN RAFAEL |
State: | CA |
Postal Code: | 949013857 |
Phone Number: | 4154886650 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2013 |
NPI Last Update Date: | 02/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PCCI241 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |