Provider Demographics
NPI:1043467061
Name:WERBNER, LAURIE E (LMFT)
Entity type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:E
Last Name:WERBNER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2334 KING ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3838
Mailing Address - Country:US
Mailing Address - Phone:510-548-6547
Mailing Address - Fax:
Practice Address - Street 1:2334 KING ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3838
Practice Address - Country:US
Practice Address - Phone:510-548-6547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002619106H00000X
CAMFT 35378106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist