Individual
SUSAN MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, ATR
Contact information
Practice address
24 SALT POND RD STE H5, WAKEFIELD, RI 02879-4337
(401) 364-7705
(401) 364-3310
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01007
RI
Other
Enumeration date
11/15/2019
Last updated
01/13/2025
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