MEDICARE: MRS. LAURA JEAN ALBRECHT-MUNK M.ED., LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	13965	NC

General Provider Information

NPI Number	:	1306067756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA JEAN ALBRECHT-MUNK M.ED., LPC

Provider Business Mailing Address
First Line	:	14709 LONG IRON DR
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-4312
Country	:	US
Telephone Number	:	503-758-6482
Fax Number	:

Provider Business Practice Location Address
First Line	:	8207 VILLAGE HARBOR DR STE 1
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-3706
Country	:	US
Telephone Number	:	704-659-1032
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	07/24/2019

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