Individual
MRS. MELISSA H POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LCDP
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 528-0110
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 491-5917
(401) 491-5916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00916
RI
Other
Enumeration date
03/09/2017
Last updated
11/13/2019
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