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MR. WILLIAM H. LAFYAETTE MA
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1912972159
Individual Registrant:MR. WILLIAM H. LAFYAETTE MA
Gender: M
Gender: M
Location and contact information for practice:
1016 BROADLEAF CT LANESVILLE, IN 47136-9406 US
Tel: 270-422-1025 Fax: 270-422-1346
Tel: 270-422-1025 Fax: 270-422-1346
Contact information for business:
1016 BROADLEAF CT LANESVILLE, IN 47136-9406 US
Tel: 270-422-1025 Fax: 270-422-1346
Tel: 270-422-1025 Fax: 270-422-1346
Registration Information:
NPI: 1912972159
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | IN | 35000835A |
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor | KY | KY-0108 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
