Provider Demographics
NPI:1023201639
Name:CHOUINARD, PAUL RICHARD (LMHC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:RICHARD
Last Name:CHOUINARD
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PURCHASE ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-3100
Mailing Address - Country:US
Mailing Address - Phone:508-496-2428
Mailing Address - Fax:
Practice Address - Street 1:10 PURCHASE ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-3100
Practice Address - Country:US
Practice Address - Phone:508-496-2428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6121101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health