Provider Demographics
NPI:1336686922
Name:COLANTUONO, LAUREEN ANN
Entity Type:Individual
Prefix:
First Name:LAUREEN
Middle Name:ANN
Last Name:COLANTUONO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAUREEN
Other - Middle Name:ANN
Other - Last Name:RAPIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:325 COOLIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-3206
Mailing Address - Country:US
Mailing Address - Phone:603-260-1233
Mailing Address - Fax:
Practice Address - Street 1:10 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1268
Practice Address - Country:US
Practice Address - Phone:978-453-5736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-20
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor