MEDICARE: MS. LAURA JEANNE MORRISSETTE MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1912043571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA JEANNE MORRISSETTE MA

Provider Business Mailing Address
First Line	:	150 FEARING ST STE 17
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-1942
Country	:	US
Telephone Number	:	339-970-1460
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 FEARING ST STE 17
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-1942
Country	:	US
Telephone Number	:	339-970-1460
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	04/11/2025

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