Provider Demographics
NPI:1235950247
Name:THUNELL, LAURA LYNN (LADC, LPCC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LYNN
Last Name:THUNELL
Suffix:
Gender:F
Credentials:LADC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 FRANKLIN AVE W
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:MN
Mailing Address - Zip Code:55328-4652
Mailing Address - Country:US
Mailing Address - Phone:612-756-1844
Mailing Address - Fax:
Practice Address - Street 1:253 FRANKLIN AVE W
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:MN
Practice Address - Zip Code:55328-4652
Practice Address - Country:US
Practice Address - Phone:612-756-1844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4619101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health