MEDICARE: PAQUETTE COUNSELING, LLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1154905966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAQUETTE COUNSELING, LLC

Provider Business Mailing Address
First Line	:	9 HICKORY HILL LN
Second Line	:
City	:	FRAMINGHAM
State	:	MA
Zip	:	01702-6113
Country	:	US
Telephone Number	:	978-807-1495
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 HICKORY HILL LN
Second Line	:
City	:	FRAMINGHAM
State	:	MA
Zip	:	01702-6113
Country	:	US
Telephone Number	:	978-807-1495
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NATHALIE PAQUETTE
Credential	:	LICSW
Telephone Number	:	978-807-1495

Provider Enumeration Date	:	05/07/2021
Last Update Date	:	05/07/2021

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