# JRD COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194499319
- **Authorized official:** JESSICA REIS-DRISCOLL LICSW (OWNER)
- **Authorized official phone:** (401) 489-3635

## Contact information

- **Practice address:** 10 ELMGROVE AVE, PROVIDENCE, RI 02906-4124
- **Practice address phone:** (401) 271-3698
- **Mailing address:** 10 ELMGROVE AVE, PROVIDENCE, RI 02906-4124
- **Mailing address phone:** (401) 271-3689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2021
- **Last updated:** 08/14/2023
