Provider Demographics
NPI:1548584782
Name:ONKKA, LAURI ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:LAURI
Middle Name:ANN
Last Name:ONKKA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 E LOUCKS
Mailing Address - Street 2:011
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-3144
Mailing Address - Country:US
Mailing Address - Phone:307-672-2044
Mailing Address - Fax:307-674-6867
Practice Address - Street 1:54 E LOUCKS
Practice Address - Street 2:011
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-3144
Practice Address - Country:US
Practice Address - Phone:307-751-5647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLCSW545101YA0400X
WYLCSW-545101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)