Provider Demographics
NPI:1821136235
Name:CLOUTIER, DAVID ARTHUR (LMHC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ARTHUR
Last Name:CLOUTIER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:781 MAIN ST STE 6
Mailing Address - Street 2:
Mailing Address - City:WHITINSVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01588-1712
Mailing Address - Country:US
Mailing Address - Phone:508-243-0215
Mailing Address - Fax:508-386-9745
Practice Address - Street 1:781 MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:WHITINSVILLE
Practice Address - State:MA
Practice Address - Zip Code:01588-1712
Practice Address - Country:US
Practice Address - Phone:508-243-0215
Practice Address - Fax:508-386-9745
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6950101YM0800X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1306421Medicaid
MA2220002001OtherBCBS SUBSTANCE ABUSE
MA1308785Medicaid
MAM18684OtherBCBS MENTAL HEALTH
MA1306421Medicaid