Provider Demographics
NPI:1275823080
Name:ARCHAMBEAULT, JAMES J (LADC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:J
Last Name:ARCHAMBEAULT
Suffix:
Gender:M
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:251 WESTBROOK RD
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1528
Mailing Address - Country:US
Mailing Address - Phone:860-767-1277
Mailing Address - Fax:860-767-7712
Practice Address - Street 1:314 FLANDERS RD
Practice Address - Street 2:SUITE 2 B
Practice Address - City:EAST LYME
Practice Address - State:CT
Practice Address - Zip Code:06333-1727
Practice Address - Country:US
Practice Address - Phone:860-767-1277
Practice Address - Fax:860-691-1546
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-13
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000008101YA0400X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health