Individual
MS. ANGELA RENEE GAUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6152
MA
101YP2500X
Professional Counselor
Primary
CCMH0201341
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042611055
TAX ID
MA
01
—
1303287
MBHP
MA
05
—
1303287
—
MA
05
—
703136
—
MA
01
—
M18633
BC BC
MA
01
—
NP01332
BMC
MA
Enumeration date
12/13/2006
Last updated
01/13/2026
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