Individual provider · Type 1 NPI
Lauren Nicole Hastie
Professional Counselor · San Jose, CA
NPI number
1417609348
Active
Practice location
1356 Ridder Park Dr
San Jose, CA 95131-2313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 11541 (CA) |
Professional Counselor: Definition to come...
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About NPI 1417609348
Lauren Nicole Hastie's National Provider Identifier is 1417609348, issued on Jan 21, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Jose, CA. The record was last updated on Oct 5, 2026.