Provider Demographics
NPI:1265636948
Name:COMEAU, LAUREN JANINE (MA)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:JANINE
Last Name:COMEAU
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 553
Mailing Address - Street 2:
Mailing Address - City:NORTH SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03073-0553
Mailing Address - Country:US
Mailing Address - Phone:603-401-1185
Mailing Address - Fax:
Practice Address - Street 1:23 ATKINSON DEPOT RD STE 102
Practice Address - Street 2:
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865-3143
Practice Address - Country:US
Practice Address - Phone:603-401-1185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2359101YM0800X
MA7142101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health