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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAUREN ANN VAN LAETHEM, MA, CBIS, CRC

Active Sole Proprietor

LAUREN ANN VAN LAETHEM, MA, CBIS, CRC is a Rehabilitation Counselor healthcare provider located in CORNELIUS, North Carolina. NPI 1003578949 is currently active in the NPPES registry. Verify at CMS.

Rehabilitation Counselor · CORNELIUS, NC

Registration Details

NPI Number
1003578949
Provider Type
Individual
Gender
Female
NPI Issued
Oct 7, 2021 (4.8856964474179 yrs)
Last Updated
Oct 7, 2021
License
324570 (NC)
Sole Proprietor
Yes

Practice Information

Address
11406 HERITAGE GREEN DR
CORNELIUS, NC, 280317402
Browse NC providers · Browse ZIP 28031
Phone
7047330111
Primary Specialty
Rehabilitation Counselor
225C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.