Provider Demographics
NPI:1740302843
Name:ARSENAULT, LAURIE JEAN (RN MS CD CAS)
Entity type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:JEAN
Last Name:ARSENAULT
Suffix:
Gender:F
Credentials:RN MS CD CAS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-2642
Mailing Address - Country:US
Mailing Address - Phone:617-440-6091
Mailing Address - Fax:617-629-4454
Practice Address - Street 1:63 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-1957
Practice Address - Country:US
Practice Address - Phone:617-629-6628
Practice Address - Fax:617-629-4454
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAC-1652101YA0400X
MA106482163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)