Individual
MRS. JACQUELINE MARIE VACHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
610 MAIN ST, LAFAYETTE, IN 47901-1451
(765) 428-2242
(765) 742-4196
Mailing address
610 MAIN ST, LAFAYETTE, IN 47901-1451
(765) 428-2242
(765) 742-4196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
02/02/2011
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