Vacheresse, Laura Jo

Vacheresse, Laura Jo is an individual health care provider with primary practice located at 4798 New Highway 68 , Madisonville TN 37354. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Vacheresse, Laura Jo can be contacted via phone (423) 442-2622.

Contact Information

Primary practice address
4798 New Highway 68 Madisonville TN 37354
Phone: (423) 442-2622
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 000623914 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0000006584 Tennessee

Profile Details

NPI number 1144610304
LBN Legal business name Vacheresse, Laura Jo
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2015
Last updated Oct 11th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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