Provider Demographics
NPI:1619179819
Name:CADIEUX, JOANNE (CADAC LADC1)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:CADIEUX
Suffix:
Gender:F
Credentials:CADAC LADC1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 JEFFRIES ST
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-3424
Mailing Address - Country:US
Mailing Address - Phone:508-642-6457
Mailing Address - Fax:
Practice Address - Street 1:1402 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-1719
Practice Address - Country:US
Practice Address - Phone:508-642-6457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA212101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)