Provider Demographics
NPI:1053911735
Name:GARCIA, LAURA S (LMHCA)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:S
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:GARCIA BOHNET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHCA
Mailing Address - Street 1:603 N ANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-3148
Mailing Address - Country:US
Mailing Address - Phone:203-240-2095
Mailing Address - Fax:
Practice Address - Street 1:603 N ANDERSON ST
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-3148
Practice Address - Country:US
Practice Address - Phone:203-240-2095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60624186101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health