Provider Demographics
NPI:1215242458
Name:CARON, LEA R (LMHC)
Entity type:Individual
Prefix:MS
First Name:LEA
Middle Name:R
Last Name:CARON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:LEA
Other - Middle Name:R
Other - Last Name:FARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:249 EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01013-1679
Mailing Address - Country:US
Mailing Address - Phone:413-594-2141
Mailing Address - Fax:413-540-5081
Practice Address - Street 1:249 EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01013-1679
Practice Address - Country:US
Practice Address - Phone:413-594-2141
Practice Address - Fax:413-540-5081
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health