Provider Demographics
NPI:1306881354
Name:LAMOUREUX, AUDREY (MA, LMHC, MHP, NCC)
Entity type:Individual
Prefix:MS
First Name:AUDREY
Middle Name:
Last Name:LAMOUREUX
Suffix:
Gender:F
Credentials:MA, LMHC, MHP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4308 76TH ST NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-3720
Mailing Address - Country:US
Mailing Address - Phone:425-349-7296
Mailing Address - Fax:425-349-7366
Practice Address - Street 1:4308 76TH ST NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-3720
Practice Address - Country:US
Practice Address - Phone:425-349-7296
Practice Address - Fax:425-349-7366
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00009137101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health