Healthcare Provider Details

I. General information

NPI: 1790569663
Provider Name (Legal Business Name): EMILY PAQUETTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY LAUGHLIN

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 INDUSTRIAL AVE STE 130
WILLISTON VT
05495-4449
US

IV. Provider business mailing address

112 LAKE ST STE 210
BURLINGTON VT
05401-5284
US

V. Phone/Fax

Practice location:
  • Phone: 802-878-1008
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: