Provider Demographics
NPI:1679271274
Name:COULTON, LAURA (NBC-HWC, MCHES)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:COULTON
Suffix:
Gender:F
Credentials:NBC-HWC, MCHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 N OAK ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2632
Mailing Address - Country:US
Mailing Address - Phone:312-485-5776
Mailing Address - Fax:
Practice Address - Street 1:208 N OAK ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2632
Practice Address - Country:US
Practice Address - Phone:312-485-5776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach