| Doctor Name: | LAURA L CHURCHILL |
| NPI Number: | 1447677596 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MC, LPC |
| License Number: | LPC13946 |
| Business Practice Address: | 1 E Apache St Wickenburg, AZ - 853902442 |
| Business Phone Number: | 9286684725 |
| Business Fax Number: | 9286684397 |
| Mailing Address: | 1 E Apache St, WICKENBURG |
| State: | AZ |
| Postal Code: | 853902442 |
| Phone Number: | 9286684725 |
| Fax Number: | 9286684397 |
| NPI Enumeration Date: | 03/26/2014 |
| NPI Last Update Date: | 03/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC13946 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |