Provider Demographics
NPI:1184706400
Name:VALIQUETTE, LOUISE D (MA LMHC)
Entity type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:D
Last Name:VALIQUETTE
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 SUNSET HILL RD
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02131-1346
Mailing Address - Country:US
Mailing Address - Phone:617-323-6160
Mailing Address - Fax:
Practice Address - Street 1:24 SUNSET HILL RD
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02131-1346
Practice Address - Country:US
Practice Address - Phone:617-323-6160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1024101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA102400OtherTUFTS
MALM0883OtherBLUE CROSS BLUE SHIELD
MALM0577OtherBLUE CROSS/ BLUE SHIELD