Provider Demographics
NPI:1700324282
Name:VACHON, ARMAND ALFRED (LCPC-C, CADC)
Entity Type:Individual
Prefix:
First Name:ARMAND
Middle Name:ALFRED
Last Name:VACHON
Suffix:
Gender:M
Credentials:LCPC-C, CADC
Other - Prefix:
Other - First Name:ISLAND
Other - Middle Name:PROFESSIONALS
Other - Last Name:LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:560 SEASHORE AVENUE
Mailing Address - City:PEAKS ISLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04108-0007
Mailing Address - Country:US
Mailing Address - Phone:207-871-1000
Mailing Address - Fax:207-699-4261
Practice Address - Street 1:560 SEASHORE AVE
Practice Address - Street 2:
Practice Address - City:PEAKS ISLAND
Practice Address - State:ME
Practice Address - Zip Code:04108
Practice Address - Country:US
Practice Address - Phone:207-871-1000
Practice Address - Fax:207-699-4261
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC5308101YA0400X
MEXL4677101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)