MEDICARE: LAURA TODD

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	101YM0800X	Mental Health Counselor	6235	CA

General Provider Information

NPI Number	:	1417351909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA TODD

Provider Business Mailing Address
First Line	:	441 N CENTRAL AVE STE 2A
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008-1428
Country	:	US
Telephone Number	:	669-256-0581
Fax Number	:

Provider Business Practice Location Address
First Line	:	441 N CENTRAL AVE STE 2A
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008-1428
Country	:	US
Telephone Number	:	669-256-0581
Fax Number	:

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

Provider Enumeration Date	:	10/13/2014
Last Update Date	:	04/17/2026

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Directions to “ LAURA TODD ” Practice Location

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