| NPI | 1255844676 | 
|---|---|
| Former Name | LAURA C WHITCOMB | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C9467) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C9467) | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 24-R-31) | |
| Enumeration Date | 2017-11-07 | 
| Last Update Date | 2025-10-07 |