Provider Demographics
NPI:1316481088
Name:ABBRUZZESE, LAURA WHISMAN (LPC)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:WHISMAN
Last Name:ABBRUZZESE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 AUSTIN AVE APT D
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76701-2060
Mailing Address - Country:US
Mailing Address - Phone:972-786-3726
Mailing Address - Fax:
Practice Address - Street 1:100 N 6TH ST STE 305
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76701-2032
Practice Address - Country:US
Practice Address - Phone:972-786-3726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-14
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12441101YA0400X
TX72860101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)