Laurie Elaine Deslauriers, LADC/MSW
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Plainfield, CT
NPI 1215065685 · NPPES record last updated Oct 19, 2010
Key facts
- NPI
- 1215065685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 03-422036 (CT)
- Practice address
- 16 High Meadow Dr
Plainfield, CT 06374-1841 - Phone
- (860) 334-5197
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03-422036 | CT | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 03-422036 | CT | Yes |
Addresses
Primary practice location
16 High Meadow Dr
Plainfield, CT 06374-1841
Mailing address
16 High Meadow Dr
Plainfield, CT 06374-1841
Phone (860) 334-5197
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All providers in Plainfield, CT · Addiction (Substance Use Disorder) Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.