Doctor Name: | MRS. LAURIE VACHON |
NPI Number: | 1104249143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCMHC |
License Number: | 661 |
Business Practice Address: | 35 Center St The Office #7 Wolfeboro Falls, NH - 038963001 |
Business Phone Number: | 6036515069 |
Business Fax Number: | |
Mailing Address: | Po Box 735, The Office #7 WOLFEBORO FALLS |
State: | NH |
Postal Code: | 038960735 |
Phone Number: | 6036515069 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2014 |
NPI Last Update Date: | 01/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 661 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |