# SUSAN AUBUT

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

## Provider details

- **NPI number:** 1396492864
- **Authorized official:** SUSAN AUBUT (CLINICAL MENTAL HEALTH COUNSELOR)
- **Authorized official phone:** (401) 241-4039

## Contact information

- **Practice address:** 193 WATERMAN ST, PROVIDENCE, RI 02906-4064
- **Practice address phone:** (401) 241-4039
- **Mailing address:** 63 LILAC ST, CUMBERLAND, RI 02864-6403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2022
- **Last updated:** 03/04/2022