Provider Demographics
NPI:1326190513
Name:PAQUIN, STEPHEN (MS LMHC LSW)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:PAQUIN
Suffix:
Gender:M
Credentials:MS LMHC LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 BROOKSIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910
Mailing Address - Country:US
Mailing Address - Phone:401-781-0901
Mailing Address - Fax:
Practice Address - Street 1:1563 NORTH MAIN STREET
Practice Address - Street 2:SUITE 208 SOUTH BAY MENTAL HEALTH
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720
Practice Address - Country:US
Practice Address - Phone:508-324-1060
Practice Address - Fax:508-672-3619
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3331101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health