Provider Demographics
NPI:1922812858
Name:WARNER-MUNROE, LAURE (LMFT)
Entity type:Individual
Prefix:
First Name:LAURE
Middle Name:
Last Name:WARNER-MUNROE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 W RIVERSIDE DR # 110-546
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4046
Mailing Address - Country:US
Mailing Address - Phone:818-308-5405
Mailing Address - Fax:
Practice Address - Street 1:4400 W RIVERSIDE DR # 110-546
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4046
Practice Address - Country:US
Practice Address - Phone:818-308-5405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA152899106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist