| Doctor Name: | MS. LAUREL KATHLEEN O'BRYAN |
| NPI Number: | 1023050218 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCCMSW |
| License Number: | LW00004363 |
| Business Practice Address: | 127 Ne Camano Dr Suite C Camano Island, WA - 982828732 |
| Business Phone Number: | 4253498227 |
| Business Fax Number: | 4253498230 |
| Mailing Address: | 2133 254th St Nw, STANWOOD |
| State: | WA |
| Postal Code: | 982929281 |
| Phone Number: | 3609390400 |
| Fax Number: | 4253498230 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LW00004363 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |