Individual
ERIC MACKSOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1817 OLD LOUISQUISSET PIKE, LINCOLN, RI 02865
(401) 727-2443
Mailing address
1817 OLD LOUISQUISSET PIKE, LINCOLN, RI 02865-4516
(401) 727-2443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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