Provider Demographics
NPI:1881156958
Name:LANOUETTE, RACHEL-MORGAN
Entity type:Individual
Prefix:
First Name:RACHEL-MORGAN
Middle Name:
Last Name:LANOUETTE
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 1:176 EAST ST APT 201
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5493
Mailing Address - Country:US
Mailing Address - Phone:978-387-7653
Mailing Address - Fax:
Practice Address - Street 1:176 EAST ST APT 201
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-5493
Practice Address - Country:US
Practice Address - Phone:978-387-7653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-05
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician