Provider Demographics
NPI:1891046066
Name:LAMARRE, REBECCA LOUISE (MFT)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:LOUISE
Last Name:LAMARRE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:LOUISE
Other - Last Name:NIEMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:190 WESTBROOK RD
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1518
Mailing Address - Country:US
Mailing Address - Phone:860-767-0147
Mailing Address - Fax:860-767-0148
Practice Address - Street 1:190 WESTBROOK RD
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:CT
Practice Address - Zip Code:06426-1518
Practice Address - Country:US
Practice Address - Phone:860-767-0147
Practice Address - Fax:860-767-0148
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor