LRHC believes in a team approach, with the patient as the MOST VALUABLE PLAYER.

All of our providers, nurses, care coordinators, service representatives, medical records specialists, billers, and managers, work together to assure top-quality care, delivered at reasonable cost, and always with kindness and respect.


Dr. Stephen Genereaux, MD

Family Medicine and Obstetrics, MAT provider

The continuity of caring for a patient from birth through adulthood is one of the hallmarks of family medicine that drew Genereaux, Vermont’s 2018 Family Physician of the Year, to the specialty. He’s been working at this community clinic for 25 years, a job that’s granted him “front row seats to the highs and lows in people’s lives.”

As an undergraduate, Genereaux glimpsed two contrasting views of healthcare through summer internships: first, he shadowed an orthopedist at a large hospital in New York City; later, he worked with Brewster Martin, MD, a family physician with a solo practice in rural Chelsea, Vermont. “Brewster was a classic country doctor,” Genereaux says. “Seeing the breadth and variety in his practice, and the way he fit into the community, spurred my interest in family medicine.”

That interest grew during his time at Dartmouth Medical School, especially after a third-year family medicine rotation in Augusta, Maine. Following residency, Genereaux spent four years at a public health center in Bethel, Alaska. Then he stumbled on the opportunity to work at Little Rivers.

Little Rivers is a Federally Qualified Health Center, providing primary care to all residents in the region, regardless of ability to pay. In addition to physicians and nurses, its staff includes behavioral health clinicians and care coordinators who help patients maintain their health and well-being. The clinic also welcomes first- and second-year Geisel students completing their On Doctoring course, as well as third- and fourth-year students on their family medicine rotations. “Watching us do what we do and our role in the community—that’s something you don’t usually get taught in med school,” says Genereaux.

It’s their role in the community that inspired Genereaux and his colleagues to begin the MAT program. “Three years ago we had three overdose deaths among local residents,” he says. “People have realized that the recovering population is us—our cousins, our aunts, our nephews.”

Living and working among underserved, rural neighbors, Genereaux is committed to eliminating barriers to care. Along with Geisel students, he visits seasonal agricultural workers at their farms. In the future, he wants to explore more ways to take healthcare services out of the clinic and into the community, like doing blood-pressure checks at the town dump.

“Family physicians aren’t just doctors,” Genereaux says. “We have to be leaders and role models.” He stresses that the caregivers at Little Rivers are “accessible, approachable, available, and accountable”


Dr. Simone Lessac-Chenen, MD, MPH

Family Medicine and Obstetrics, MAT provider, Chief Medical Officer


dr. fay Homan, MD

Family Medicine and Pre/postnatal care, Director of Medical Staff

Dr. Fay Homan has been with Wells River Clinic since 1993. She enjoys the full scope of family medicine, from obstetric care to geriatrics. Teaching the next generation of family doctors is an important part of her practice, and you’ll often meet medical students from UVM and Dartmouth with her in Wells River. She also enjoys international medicine, and has travelled to Honduras, Kosovo and Malawi. She serves on the board of the Vermont Academy of Family Physicians and the Primary Care Advisory Group for the Green Mountain Care Board. She got her medical degree from the University of Vermont and did her Family Medicine residency in Tacoma, Washington. She has been honored as the Vermont Family Physician of the Year and as Family Medicine Teacher of the Year.


Marlene Bristol, FNP

Family Medicine, MAT Provider

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Alexandra Perreault, FNp

Family Medicine


Michael Brandli, ms, cmhc, Aap

Substance Abuse, Recovery, and Trauma Coordinator

Michael has been working in the behavioral health and substance use treatment fields since 2007. He started providing group and individual therapy in 2011 under the licenses of his supervisors at Valley Vista Residential treatment program. In December of 2018, he completed his Masters in Clinical Mental Health Counseling through Southern New Hampshire University. His goal is to be dually licensed as a Clinical Mental Health Counselor (LCMHC) and Alcohol and Substance Use Counselor (LADC). Michael is a member of the New Hampshire Disaster Behavioral Response Team (DBHRT) and is an advocate for first responders’ mental health. He assists adolescents aged 15 up through adults, who have been assessed with a behavioral health or substance use diagnosis.

Michael utilizes Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Narrative and Art Therapy in his treatment. He has a history of providing Qi Gong, Tai Chi, and Acudetox during individual and group sessions, enhancing his ability to utilize mindfulness practices.


Tracy Thompson, licsw, LAdc, YTT-200

Clinical Social Work, Director of Behavioral Health

Tracy completed her Masters of Social Work degree in 2005 at the University of Central Florida and became a Licensed Independent Clinical Social worker in 2009. Tracy has worked with individuals, families and groups from ages 3 through 89 in a variety of settings. Her experience includes working with individuals who experience symptoms of Anxiety, Attention Deficit Hyperactivity Disorder, Trauma and other mental health and substance use diagnoses.

Tracy utilizes a strengths perspective while incorporating multiple modalities into her sessions, including but not limited to: Cognitive Behavioral Therapy (CBT), Mindfulness, Play Therapy, and Narrative approaches, as well as Motivational Interviewing (MI) and Acceptance and Commitment Therapy (ACT). Tracy became a Licensed Drug and Alcohol Counselor in 2018 and is currently training and working towards her EMDR certification.


Tiffany White, msw, LiCSW, ladc

Clinical Social Work, MAT Program Coordinator

Tiffany is a Licensed Clinical Social Worker (LICSW) and a Licensed Alcohol and Drug Counselor (LADC) in the State of Vermont. She completed her master’s degree at the University of Vermont in Transformative Social Work. Her focus during her master’s program was centered on individuals who have experienced trauma. Her post graduate employment as a therapist, included treating individuals with co-occurring substance use and mental health disorders at the residential program Valley Vista. At Little Rivers Health Care, Tiffany currently serves as the Program Coordinator for the Medication Assisted Treatment program in addition to treating individuals in the Behavioral Health Program. 

Tiffany’s therapeutic approach is heavily based upon Cognitive Behavioral Therapy (CBT). Other modalities of her practice include, but are not limited to, Solution Focused Treatment (SFT), Mindfulness based treatment, Family Therapy, and Dialectical Behavioral Therapy (DBT). Tiffany was recently trained in Acudetox and is now offering this in both group and individual settings. She specializes in patients of all ages, but has more experience with those who are 18 and older.

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Grace Kozik, PsyNP