Provider Demographics
NPI:1841550134
Name:SHABEL, LAURA (MS)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SHABEL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 BERNARDO AVE
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029-4418
Mailing Address - Country:US
Mailing Address - Phone:760-207-4039
Mailing Address - Fax:
Practice Address - Street 1:1905 APPLE ST STE 3
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-4455
Practice Address - Country:US
Practice Address - Phone:760-421-5084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-21
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)