Provider Demographics
NPI:1184856056
Name:CORRIVEAU, LYNNE RENE
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:RENE
Last Name:CORRIVEAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 N MAIN ST
Mailing Address - Street 2:ARBOUR COUNSELING SERVICES
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-2130
Mailing Address - Country:US
Mailing Address - Phone:508-678-2833
Mailing Address - Fax:508-675-9640
Practice Address - Street 1:10 N MAIN ST
Practice Address - Street 2:ARBOUR COUNSELING SERVICES
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-2130
Practice Address - Country:US
Practice Address - Phone:508-678-2833
Practice Address - Fax:508-675-9640
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health