| Doctor Name: | MICHELE SUZANNE LACOUTURE |
| NPI Number: | 1982878799 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 37PC00360500 |
| Business Practice Address: | 23 Buena Vista Dr Ringwood, NJ - 074562006 |
| Business Phone Number: | 9736160454 |
| Business Fax Number: | |
| Mailing Address: | 2025 Hamburg Tpke, Suite B1 WAYNE |
| State: | NJ |
| Postal Code: | 074706260 |
| Phone Number: | 9173630311 |
| Fax Number: | 9735565741 |
| NPI Enumeration Date: | 04/14/2008 |
| NPI Last Update Date: | 04/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00360500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |