Individual
MICHELE SUZANNE LACOUTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
23 BUENA VISTA DR, RINGWOOD, NJ 07456-2006
(973) 616-0454
Mailing address
2025 HAMBURG TPKE, SUITE B1, WAYNE, NJ 07470-6260
(917) 363-0311
(973) 556-5741
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00360500
NJ
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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