Healthcare Provider Details

I. General information

NPI: 1700345428
Provider Name (Legal Business Name): ZACHARIAS D LAUGHLIN LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2019
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 S MINNESOTA AVE
SAINT PETER MN
56082-2557
US

IV. Provider business mailing address

108 S MINNESOTA AVE
SAINT PETER MN
56082-2557
US

V. Phone/Fax

Practice location:
  • Phone: 507-720-1401
  • Fax: 507-353-0017
Mailing address:
  • Phone: 507-720-1401
  • Fax: 507-353-0017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1700345428
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: