Doctor Name: | ANDREA E LAVERDURE |
NPI Number: | 1588848741 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 41211198 |
Business Practice Address: | 113 Main Ave E Rolla, ND - 58367 |
Business Phone Number: | 7014778272 |
Business Fax Number: | 7014778271 |
Mailing Address: | Po Box 650, DEVILS LAKE |
State: | ND |
Postal Code: | 583010650 |
Phone Number: | 7014778272 |
Fax Number: | 7014778271 |
NPI Enumeration Date: | 12/24/2007 |
NPI Last Update Date: | 12/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 41211198 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |