Provider Demographics
NPI:1093992943
Name:COLETTI, LORRAINE (MS)
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:
Last Name:COLETTI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 MANNING ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:MA
Mailing Address - Zip Code:01522-1508
Mailing Address - Country:US
Mailing Address - Phone:508-829-2674
Mailing Address - Fax:
Practice Address - Street 1:12 MANNING ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:MA
Practice Address - Zip Code:01522-1508
Practice Address - Country:US
Practice Address - Phone:508-829-2674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor