Provider Demographics
NPI:1750136099
Name:VAUTOR-LAPLACELIERE, KAREN BERNADETTE
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:BERNADETTE
Last Name:VAUTOR-LAPLACELIERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 BRAMHALL AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-2333
Mailing Address - Country:US
Mailing Address - Phone:347-587-0396
Mailing Address - Fax:
Practice Address - Street 1:585 BRAMHALL AVE APT 2
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-2333
Practice Address - Country:US
Practice Address - Phone:347-587-0396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health