Provider Demographics
NPI:1790815884
Name:LASSONDE, CLAIRE LORETTA (EDM, MAC)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:LORETTA
Last Name:LASSONDE
Suffix:
Gender:F
Credentials:EDM, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WEAVER ST
Mailing Address - Street 2:APT. 300
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-1330
Mailing Address - Country:US
Mailing Address - Phone:508-415-2160
Mailing Address - Fax:
Practice Address - Street 1:165 QUINCY ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302-2988
Practice Address - Country:US
Practice Address - Phone:508-897-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health