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General NPI Number Information
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NPI Number | 1245674829
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Entity Type | Individual
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Provider Name | LAURA J HAVENS LMFT LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 814 S PEABODY ST
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City | PORT ANGELES
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State | WA
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Zip | 98362-7906
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Country | US
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Telephone | 360-460-0217
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Fax | 360-406-8688
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Provider Business Mailing Address
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Address Line | 814 S PEABODY ST
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City | PORT ANGELES
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State | WA
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Zip | 98362-7906
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Country | US
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Telephone | 360-460-0217
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Fax | 360-406-8688
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF60805478
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60527932
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License Number State | WA
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