Provider Demographics
NPI:1699865915
Name:LAUBACH, WILLIAM JEFFREY (MS, LPC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JEFFREY
Last Name:LAUBACH
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 QUARRY DR
Mailing Address - Street 2:SUITE C-36
Mailing Address - City:WEST LAWN
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1155
Mailing Address - Country:US
Mailing Address - Phone:610-685-8621
Mailing Address - Fax:610-685-8621
Practice Address - Street 1:2209 QUARRY DR
Practice Address - Street 2:SUITE C-36
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1155
Practice Address - Country:US
Practice Address - Phone:610-685-8621
Practice Address - Fax:610-685-8621
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003558101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional