Doctor Name: | MS. LORRAINNE ALICE BILODEAU |
NPI Number: | 1881784288 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCAS, CCS |
License Number: | 243 |
Business Practice Address: | 145 Wood River Rd West End, NC - 273768713 |
Business Phone Number: | 9106384930 |
Business Fax Number: | 9102952438 |
Mailing Address: | 145 Wood River Rd, WEST END |
State: | NC |
Postal Code: | 273768713 |
Phone Number: | 9106384930 |
Fax Number: | 9102952438 |
NPI Enumeration Date: | 10/14/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 243 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |