Provider Demographics
NPI:1508214636
Name:GAUDION, EMILY (MS, LCMHC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:GAUDION
Suffix:
Gender:F
Credentials:MS, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TARA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-2809
Mailing Address - Country:US
Mailing Address - Phone:603-242-2296
Mailing Address - Fax:
Practice Address - Street 1:1 TARA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-2809
Practice Address - Country:US
Practice Address - Phone:603-242-2296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health