Individual
ERIN LYNNE URSILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 323-3180
Mailing address
10 JACK PINE RD, COVENTRY, RI 02816-6672
(401) 323-3180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00730
RI
Other
Enumeration date
12/18/2017
Last updated
08/30/2024
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