Provider Demographics
NPI:1104249143
Name:VACHON, LAURIE (LCMHC)
Entity type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:
Last Name:VACHON
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 735
Mailing Address - Street 2:THE OFFICE #7
Mailing Address - City:WOLFEBORO FALLS
Mailing Address - State:NH
Mailing Address - Zip Code:03896-0735
Mailing Address - Country:US
Mailing Address - Phone:603-651-5069
Mailing Address - Fax:
Practice Address - Street 1:35 CENTER ST
Practice Address - Street 2:THE OFFICE #7
Practice Address - City:WOLFEBORO FALLS
Practice Address - State:NH
Practice Address - Zip Code:03896-3001
Practice Address - Country:US
Practice Address - Phone:603-651-5069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH661101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3071777Medicaid